NPI | 1508962937 |
---|---|
Former Legal Business Name | WOOD & COOK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CHARLES S WOOD Owner 870-735-3601 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-10-01 |