Individual
LARRY RANDAL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27 N BROAD ST, LEXINGTON, TN 38351-0475
(731) 988-6701
Mailing address
PO BOX 475, 27 N BROAD ST, LEXINGTON, TN 38351-0475
(731) 988-6701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050000002400
TN
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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