Individual
KIRK WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18550 E RITTENHOUSE RD STE 103, QUEEN CREEK, AZ 85142-4599
(480) 840-3005
Mailing address
18550 E RITTENHOUSE RD STE 103, QUEEN CREEK, AZ 85142-4599
(480) 840-3005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PD0019
AZ
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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