Individual
MATTHEW TYLER WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7610 W US HIGHWAY 50, SALIDA, CO 81201-9344
(719) 539-5440
Mailing address
2753 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 355-5305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00203585
CO
Other
Enumeration date
06/05/2018
Last updated
07/21/2022
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