Individual
MR. LON E WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5555 N 7TH STREET, SUITE 142, PHOENIX, AZ 85014-2531
(602) 265-8566
(602) 265-8566
Mailing address
5555 N 7TH STREET, SUITE 142, PHOENIX, AZ 85014-2531
(602) 265-8566
(602) 265-8566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2258
AZ
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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