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Organization
LARRY A WOZNUK DDS INC
Active
Organization
LARRY A WOZNUK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WOZNUK DDS (OWNER)
(619) 224-2204
Entity
Organization
Contact information
Practice address
3625 MIDWAY DR, STE A, SAN DIEGO, CA 92110-5253
(619) 224-2204
Mailing address
3625 MIDWAY DR, STE A, SAN DIEGO, CA 92110-5253
(619) 224-2204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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