Individual
DR. DANIEL ADAM WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
805 S MAPLE ST, NORTH PLATTE, NE 69101-5282
(308) 534-1289
Mailing address
805 S MAPLE ST, NORTH PLATTE, NE 69101-5282
(308) 534-1289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6880
NE
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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