Individual
DR. WOODSTOCK TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4318 S EASTERN AVE, LAS VEGAS, NV 89119-6016
(702) 736-6119
Mailing address
4318 S EASTERN AVE, LAS VEGAS, NV 89119-6016
(702) 736-6119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6591
NV
Other
Enumeration date
04/16/2015
Last updated
06/17/2015
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