Individual
DR. CHARLES G WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1213 BROAD AVE STE 1, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Mailing address
1213 BROAD AVE STE 1, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2041-83
MS
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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