Individual
DR. MANZEL RICHARD WOODFORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7500 CENTRAL AVE SUITE 101, PHILADELPHIA, PA 19111
(610) 550-3333
Mailing address
5501 OLD YORK ROAD, PHILADELPHIA, PA 19141
(215) 456-7130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044124
PA
Other
Enumeration date
05/21/2018
Last updated
06/25/2023
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