Individual
ERIC WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3610 N UNIVERSITY AVE STE 150, PROVO, UT 84604-4444
(801) 341-9759
Mailing address
3610 N UNIVERSITY AVE STE 150, PROVO, UT 84604-4444
(801) 341-9759
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11125788-9924
UT
Other
Enumeration date
05/21/2015
Last updated
08/01/2019
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