Individual
DONAL R WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6143 E 91ST ST, TULSA, OK 74137-3104
(918) 492-6994
Mailing address
6143 E 91ST ST, TULSA, OK 74137-3104
(918) 492-6994
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4638
OK
Other
Enumeration date
03/05/2007
Last updated
07/29/2008
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