Individual
DR. CHRISTINE A WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
45860 MAIN ST, CONCRETE, WA 98237
(360) 399-1250
(360) 404-3828
Mailing address
PO BOX 570, CONCRETE, WA 98237-0570
(360) 399-1250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60514482
WA
1223G0001X
General Practice Dentistry
Primary
6291-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166381
—
WA
Enumeration date
07/10/2008
Last updated
11/25/2020
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