| NPI | 1770562928 |
|---|---|
| Other Name | PETER RODERICK WOODHEAD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL dn29995) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 041030) |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2026-05-27 |