Jody Lynn Wolf, RDH

NPI #1962852772 in Beaverton, Oregon

Provider Information

NPI Number: 1962852772
Entity Type: Individual
Name: Jody Lynn Wolf, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 13, 2016
Last Updated: Jun 13, 2016

Practice Location

Address: 4095 SW 144TH AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-2368
Phone: (503) 643-4719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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