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1093855272
GARY BRUCE WOODCOCK
GALLUP, NM
NPI
1093855272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 25656)
Enumeration Date
2007-02-07
Last Update Date
2011-10-31
Business Address
Dr. GARY BRUCE WOODCOCK D.M.D
516 EAST NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1560
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Mailing Address
Dr. GARY BRUCE WOODCOCK D.M.D
P.O. BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1560
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