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Individual

ALAN A WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
474 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066-5631
(334) 361-0244
(334) 361-0244
Mailing address
474 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066-5631
(334) 361-0244
(334) 361-0244

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3560
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174606370
ORGANIZATIONAL NPI
AL
Enumeration date
11/05/2008
Last updated
11/05/2008
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