Individual
DR. MARCUS WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4801 OUTER LOOP, SUITE A206, LOUISVILLE, KY 40219-3201
(502) 961-0351
Mailing address
125 PENNSYLVANIA AVE, LOUISVILLE, KY 40206-2717
(502) 721-7566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12011076A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7983
KY
Other
Enumeration date
03/01/2007
Last updated
11/21/2013
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