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Organization

KEITH WOODALL DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL KEITH WOODALL SR. DMD (ORTHODONTIST PRESIDENT)
(334) 749-1268
Entity
Organization

Contact information

Practice address
121 NORTH 20TH STREET, 20A, OPELIKA, AL 36801
(334) 749-1268
(334) 745-4221
Mailing address
121 NORTH 20TH STREET, 20A, OPELIKA, AL 36801
(334) 749-1268
(334) 745-4221

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2832
AL

Other

Enumeration date
11/16/2006
Last updated
08/22/2020
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