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General NPI Number Information
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NPI Number | 1841678414
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Entity Type | Organization
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Legal Business Name | GARY G WOLFSON, D.D.S. PLLC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 14000 E ARAPAHOE RD # C310
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City | CENTENNIAL
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State | CO
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Zip | 80112-4043
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Country | US
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Telephone | 303-632-3622
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Fax | 303-362-3620
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Provider Business Mailing Address
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Address Line | 14000 E ARAPAHOE RD # C310
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City | CENTENNIAL
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State | CO
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Zip | 80112-4043
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Country | US
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Telephone | 303-632-3622
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Fax | 303-362-3620
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Authorized Official
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Title or Position | MANAGER
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Name | SALLY A WOLFSON
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Credential |
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Telephone | 303-632-3622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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