| Jack E. Wolf D.m.d. | |
|
109 Long Rd Chesterfield MO 63005 | |
| (636) 530-7260 | |
| (636) 733-9084 |
| Full Name | Jack E. Wolf D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Long Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Jack E. Wolf (OWNER) |
| Authorized Official Contact | 6365307260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack E. Wolf D.m.d. 109 Long Rd Chesterfield MO 63005 Ph: (636) 530-7260 | Jack E. Wolf D.m.d. 109 Long Rd Chesterfield MO 63005 Ph: (636) 530-7260 |
| NPI Number | 1710182183 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710182183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014616 (Missouri) | Primary |
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