Individual
TY LOUIS WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1106 S PARK DR, REIDSVILLE, NC 27320-5514
(336) 349-9269
(336) 634-1798
Mailing address
1106 S PARK DR, REIDSVILLE, NC 27320-5514
(336) 349-9269
(336) 634-1798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9210
NC
Other
Enumeration date
09/01/2011
Last updated
07/01/2026
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