Individual
JOSHUA WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1125 SOUTH HARLEM AVENUE, FOREST PARK, IL 60130
(708) 386-5437
Mailing address
1125 S HARLEM AVE, FOREST PARK, IL 60130
(708) 386-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021003271
IL
1223P0221X
Pediatric Dentistry
DN20926
FL
Other
Enumeration date
02/18/2014
Last updated
07/17/2024
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