Individual
ANGELA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
554 KEILY STREET, CCPD BUREAU OF MED AND SURGERY, JACKSONVILLE, FL 32212
(757) 953-8547
Mailing address
554 KEILY STREET, CCPD BUREAU OF MED AND SURGERY, JACKSONVILLE, FL 32212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402206352
VA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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