Organization
A.E. UNDERWOOD DDSTODD GLAZENER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A E UNDERWOOD (DENTIST)
(336) 774-0520
Entity
Organization
Contact information
Practice address
3465 POLO RD, WINSTON SALEM, NC 27106
(336) 774-0520
Mailing address
3465 POLO RD, WINSTON SALEM, CA 27106
(336) 774-0520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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