DR. Robert Owen Wolf, DDS
NPI #1962576967 in Bloomington, Illinois
Provider Information
- NPI Number
- 1962576967
- Entity Type
- Individual
- Name
- DR. Robert Owen Wolf, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 107 S PROSPECT RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4403
- Phone
- (309) 663-0433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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