Individual
JUSTIN JAMES WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1310 SHERMER RD STE 50, NORTHBROOK, IL 60062-4579
(847) 272-0049
Mailing address
23 W CHICAGO AVE, CHICAGO, IL 60654-3207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019033399
IL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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