Organization
RICHARD M. A. WOOD DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M. A. WOOD D.M.D. (PRESIDENT)
(863) 453-3258
Entity
Organization
Contact information
Practice address
1701 US HIGHWAY 27 N, AVON PARK, FL 33825-9504
(863) 453-3258
(863) 452-0460
Mailing address
1701 US HIGHWAY 27 N, AVON PARK, FL 33825-9504
(863) 453-3258
(863) 452-0460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467589937
NPPES(INDIVIDUAL)
FL
Enumeration date
08/13/2008
Last updated
08/13/2008
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