Individual
DR. EDWARD WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 HIGHLAND RD, GLEN COVE, NY 11542
(516) 676-0250
(516) 676-3210
Mailing address
128 GLEN ST, GLEN COVE, NY 11542
(516) 676-0250
(516) 676-3210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029007
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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