Organization
CHARLES G. WOOD D.M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G WOOD D.M.D. (DENTIST)
(228) 863-5171
Entity
Organization
Contact information
Practice address
1213 BROAD AVE # STD-1, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Mailing address
1213 BROAD AVE # STD-1, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2041-83
MS
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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