Organization
GONSALVES AND WOLFF, DDS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN N WOLFF DDS (OWNER/DOCTOR)
(704) 749-4141
Entity
Organization
Contact information
Practice address
982 LEE ANN DR NE, CONCORD, NC 28025-2957
(704) 749-4141
(704) 871-1505
Mailing address
1424A FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 749-4141
(704) 871-1505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8456
NC
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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