Individual
TY LOUIS WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
491 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 540-5400
(704) 364-5293
Mailing address
491 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 540-5400
(704) 364-5293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9210
NC
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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