Individual
DR. IAN C WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7642
Mailing address
567 W 170TH ST APT 5D, NEW YORK, NY 10032-3318
(510) 387-3778
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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