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Organization
DODI R. WOOLLEY DDS, INC
Active
Organization
DODI R. WOOLLEY DDS, INC
Active
Other names
Smile Your Best Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DODI R. WOOLLEY DDS (DENTIST)
(219) 987-5733
Entity
Organization
Contact information
Practice address
534 N HALLOCK ST, DEMOTTE, IN 46310
(219) 987-5733
(219) 987-6162
Mailing address
PO BOX 848, DEMOTTE, IN 46310
(219) 987-5733
(219) 987-6162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6974
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431657
UNITED CONCORDIA
—
Enumeration date
05/03/2007
Last updated
01/04/2016
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