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Individual

DR. JACOB AUSTIN WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
114 3RD ST N, CANNON FALLS, MN 55009-2011
(507) 263-4501
Mailing address
5075 161ST ST W APT 1127, LAKEVILLE, MN 55044-5525
(701) 540-7945

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2456
ND
1223G0001X
General Practice Dentistry
Primary
D14744
MN

Other

Enumeration date
05/31/2022
Last updated
03/14/2024
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