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Individual

MR. ROBERT A WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
533 W NORTH AVE, SUITE 200, ELMHURST, IL 60126-2100
(630) 941-3400
(630) 941-3421
Mailing address
533 W NORTH AVE, SUITE 200, ELMHURST, IL 60126-2100
(630) 941-3400
(630) 941-3421

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.026693
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.026693
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021.002309
IL

Other

Enumeration date
01/15/2007
Last updated
06/16/2010
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