Individual
MR. GEORGE RICHARD WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1036 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4132
(417) 881-2220
(417) 881-6152
Mailing address
1036 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4132
(417) 881-2220
(417) 881-6152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11335
MO
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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