NPI | 1730750076 |
---|---|
Doing Business As | JOHN G WOOD DDS |
Entity Type | Organization |
Authorized Contact | RUSSELL JARED CRANE Owner 623-561-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-08 |
Last Update Date | 2021-07-08 |