Wolf and Osborne, Ltd

NPI #1801263272 in Decatur, Illinois

Provider Information

NPI Number: 1801263272
Entity Type: Organization
Organization Name: Wolf and Osborne, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 1, 2015
Last Updated: Feb 17, 2023

Practice Location

Address: 1353 E MOUND RD
City: Decatur
State: Illinois
ZIP Code: 62526-9345
Phone: (217) 875-7600

Authorized Official

Name: DR. KEVIN THOMAS WOLF
Title: PRESIDENT/GENERAL DENTIST
Phone: (217) 875-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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