Individual
KHEM WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CAMP GRUBER 100 HIGHWAY 10, BRAGGS, OK 74423
(626) 392-8649
Mailing address
PO BOX 457, MIAMI, OK 74355-0457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4536
OK
Other
Enumeration date
08/02/2006
Last updated
02/29/2016
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