Organization
ALAN WOLKOFF D,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN WOLKOFF D.M.D. (OWNER)
(203) 753-2274
Entity
Organization
Contact information
Practice address
93 WEDGEWOOD DR, WATERBURY, CT 06705-3611
(203) 753-2274
(203) 597-8656
Mailing address
93 WEDGEWOOD DR, P,O,BOX 3066, WATERBURY, CT 06705-3611
(203) 753-2274
(203) 597-8656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5389
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002053890
—
CT
Enumeration date
10/26/2012
Last updated
10/26/2012
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