Tyler Andrew Wolf, DDS

NPI #1831277136 in Jenison, Michigan

Provider Information

NPI Number: 1831277136
Entity Type: Individual
Name: Tyler Andrew Wolf, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7678 COTTONWOOD DR
City: Jenison
State: Michigan
ZIP Code: 49428
Phone: (616) 457-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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