Organization
MICHAEL WOLF DDS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BARRY WOLF D.D.S. (PRESIDENT)
(763) 571-4837
Entity
Organization
Contact information
Practice address
999 50TH AVE NE, SUITE 200, COLUMBIA HEIGHTS, MN 55421-1900
(763) 571-4837
(763) 571-0074
Mailing address
999 50TH AVE NE, SUITE 200, COLUMBIA HEIGHTS, MN 55421-1900
(763) 571-4837
(763) 571-0074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10364
MN
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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