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Organization

STANLEYJWOLFEDDSPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY J WOLFE DDS (PRESIDENT)
(203) 933-3131
Entity
Organization

Contact information

Practice address
385 MAIN ST, SUITE4, WEST HAVEN, CT 06516-4312
(203) 933-3131
(203) 934-4938
Mailing address
385 MAIN ST, SUITE4, WEST HAVEN, CT 06516-4312
(203) 933-3131
(203) 934-4938

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3949
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002039493
CT
Enumeration date
04/21/2008
Last updated
04/21/2008
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