Individual
DR. REGINALD LYNN WOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 1ST ST SW, MINOT, ND 58701-3859
(701) 852-3939
Mailing address
400 4TH AVE NW, MINOT, ND 58703-3148
(701) 838-8885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1643
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40787
—
ND
Enumeration date
05/17/2006
Last updated
07/08/2007
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