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Individual

JACOB WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
221 PARKWAY DR, KALISPELL, MT 59901-3013
(406) 752-2372
Mailing address
221 PARKWAY DR, KALISPELL, MT 59901-3013
(406) 752-2372

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7283
OK
1223G0001X
General Practice Dentistry
Primary
23622
MT

Other

Enumeration date
06/10/2020
Last updated
11/24/2024
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