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Individual

DR. GEORGE MICHAEL WOODARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS PA

Contact information

Practice address
6829 FALLS OF NEUSE RD STE 106, RALEIGH, NC 27615-5385
(919) 870-5905
(919) 870-8194
Mailing address
6829 FALLS OF NEUSE RD STE 106, RALEIGH, NC 27615-5385
(919) 870-5905
(919) 870-8194

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4549
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8999484
NC
01
99484
BCBS
NC
Enumeration date
01/24/2007
Last updated
07/09/2007
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