Individual
DR. JUSTIN J WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9829 S 1300 E, SUITE 102, SANDY, UT 84094-4000
(801) 553-3562
(801) 553-3564
Mailing address
9829 S 1300 E, SUITE 102, SANDY, UT 84094-4000
(801) 553-3562
(801) 553-3564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47420579922
UT
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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