John B. Dewolf, Iii, D.m.d., S.c.

NPI #1699899336 in Clintonville, Wisconsin

Provider Information

NPI Number: 1699899336
Entity Type: Organization
Organization Name: John B. Dewolf, Iii, D.m.d., S.c.
Primary Specialty: Dentist
Enumeration Date: Mar 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 112 S MAIN ST
City: Clintonville
State: Wisconsin
ZIP Code: 54929-1631
Phone: (715) 823-2233

Authorized Official

Name: DR. JOHN DEWOLF III, D.M.D.
Title: PRESIDENT
Phone: (715) 823-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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