| NPI | 1942063102 |
|---|---|
| Doing Business As | DR. LORI WOODBURN, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | LORI WOODBURN Owner Dentist 815-469-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |