Organization
DANIEL K. WOODSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KEITH WOODSON D.D.S. (OWNER)
(530) 367-2250
Entity
Organization
Contact information
Practice address
24400 MAIN ST, FORESTHILL, CA 95631
(530) 367-2250
(530) 367-4735
Mailing address
PO BOX 1098, FORESTHILL, CA 95631-1098
(530) 367-2250
(530) 367-4735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D23417-01
—
CA
Enumeration date
08/09/2007
Last updated
08/09/2007
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