JAKE BRADY WOLF

DEMING, NM
NPI1346655974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD4108)
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
Dr. JAKE BRADY WOLF D.D.S.
1310 E PINE ST SUITE B
DEMING, NM 88030-7003
Phone number: 575-544-9999
Mailing Address
Dr. JAKE BRADY WOLF D.D.S.
8201 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5842
Phone number: 505-892-9010