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General NPI Number Information
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NPI Number | 1043481617
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Entity Type | Organization
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Legal Business Name | DAVID M. WOLF, DDS, PC
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 37 BIRCH ST
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City | MILFORD
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State | MA
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Zip | 01757-5501
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Country | US
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Telephone | 508-473-4999
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Fax | 508-473-7699
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Provider Business Mailing Address
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Address Line | 37 BIRCH ST
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City | MILFORD
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State | MA
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Zip | 01757-5501
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Country | US
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Telephone | 508-473-4999
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Fax | 508-473-7699
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MARTIN WOLF
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Credential | DDS
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Telephone | 508-473-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 18743
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License Number State | MA
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