Individual
DR. RAYMOND LAMONT WOODBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30900 FORD RD, SUITE G, GARDEN CITY, MI 48135-1892
(734) 522-7119
(734) 522-7142
Mailing address
30900 FORD RD, SUITE G, GARDEN CITY, MI 48135-1892
(734) 522-7119
(734) 522-7142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
017055
MI
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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