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Organization
RICHARD M. A. WOOD DMD, PA
Active
Organization
RICHARD M. A. WOOD DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M. A. WOOD D.M.D. (PRESIDENT)
(863) 453-3258
Entity
Organization
Contact information
Practice address
1701 US HIGHWAY 27 N, AVON PARK, FL 33825-9504
(863) 453-3258
(863) 452-0460
Mailing address
1701 US HIGHWAY 27 N, AVON PARK, FL 33825-9504
(863) 453-3258
(863) 452-0460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467589937
NPPES(INDIVIDUAL)
FL
Enumeration date
08/13/2008
Last updated
08/13/2008
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