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Individual

JIMMY A. WOFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
413 N. MAIN ST., FT. STOCKTON, TX 79735
(432) 336-5522
(432) 336-5523
Mailing address
PO BOX 1016, FT. STOCKTON, TX 79735
(432) 336-5522
(432) 336-5523

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10759
TX

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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