Individual
DANIEL KEITH WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
24400 MAIN ST, FORESTHILL, CA 95631
(530) 367-2250
(530) 367-4735
Mailing address
PO BOX 1098, FORESTHILL, CA 95631-1098
(530) 367-2250
(530) 367-4735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B23417-01
—
CA
Enumeration date
08/04/2006
Last updated
07/09/2007
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