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Organization

MONICA WOODARD DDS MDS PC

Active
Other names
WOODARD ORTHODONTICS
Organization subpart
No

Provider details

NPI number
Authorized official
MIA TURNER (PRACTICE COORDINATOR)
(757) 686-3955
Entity
Organization

Contact information

Practice address
5833 HARBOUR VIEW BLVD, SUITE A, SUFFOLK, VA 23435-2657
(757) 686-3955
Mailing address
5833 HARBOUR VIEW BLVD, SUITE A, SUFFOLK, VA 23435-2657
(757) 686-3955

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411138
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9180412
VA
Enumeration date
01/10/2008
Last updated
01/10/2008
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