| NPI | 1710182183 |
|---|---|
| Doing Business As | JACK E. WOLF D.M.D. |
| Entity Type | Organization |
| Authorized Contact | JACK E. WOLF Owner 636-530-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 014616) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2009-08-25 |