Individual
MICHAEL G. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
211 INNSDALE TER, CLOVIS, NM 88101-3061
(505) 762-7797
(505) 762-7738
Mailing address
211 INNSDALE TER, CLOVIS, NM 88101-3061
(505) 762-7797
(505) 762-7738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1172
NM
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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