Individual
DR. CHERYL DEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, PHD
Contact information
Practice address
18301 N 79TH AVE, SUITE F 164, GLENDALE, AZ 85308-8463
(623) 939-4777
Mailing address
18301 N 79TH AVE, SUITE F 164, GLENDALE, AZ 85308-8463
(623) 939-4777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D07876
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12290860
CAQH
AZ
Enumeration date
10/13/2011
Last updated
10/13/2011
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