| NPI | 1639660251 |
|---|---|
| Former Legal Business Name | MICHAEL W WOODS DDS PC |
| Entity Type | Organization |
| Authorized Contact | DOROTHY HERNANDEZ Credentialing Agent 623-258-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-11-08 |