DR. Jack Edwin Wolf, DMD
NPI #1154484335 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1154484335
- Entity Type
- Individual
- Name
- DR. Jack Edwin Wolf, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 21, 2019
Practice Location
- Address
- 139 LONG RD
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63005-1223
- Phone
- (636) 530-7260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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