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Organization

JEFFREY J WOLFE DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY J WOLFE DDS (OWNER)
(503) 349-2267
Entity
Organization

Contact information

Practice address
2105 NE 42ND AVE, PORTLAND, OR 97213-1321
(503) 349-2267
Mailing address
2607 NE 21ST AVE, PORTLAND, OR 97212-4654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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