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NPI 1629166350

IndividualActive

Larry Wolff, D.D.S., PH.D.

NPI 1629166350 · Periodontics · Edina, MN

Provider details

NPI number: 1629166350
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: D.D.S., PH.D.
Sex: Male
Sole proprietor: No
License: MN8687 (MN)

Practice location

4940 Viking Dr Ste 127

Edina, MN 55435-5306

Phone: (952) 835-3383

Fax: (952) 835-2818

More MN providers

Mailing address

4940 Viking Dr Ste 127

Edina, MN 55435-5306

Registry dates

Enumerated: 2006-10-10
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Larry Wolff, D.D.S., PH.D. — NPI 1629166350, Edina, MN | NPI Central