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Individual

DR. RICHARD JOHN WOLKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
202 N MAIN ST, MONTICELLO, IA 52310-1746
(319) 465-4666
(319) 465-2042
Mailing address
202 N MAIN ST, MONTICELLO, IA 52310-1746
(319) 465-4666
(319) 465-2042

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06107
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128934
IA
Enumeration date
12/11/2006
Last updated
07/08/2007
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