Individual
EVAN WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 BOSTON POST RD, MADISON, CT 06443-3155
(203) 245-4266
Mailing address
817 BOSTON POST RD, MADISON, CT 06443-3155
(203) 245-4266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12851
CT
Other
Enumeration date
03/21/2019
Last updated
10/03/2023
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