Organization
MICHAEL W. WOODS DDS PC
Active
Other names
MICHAEL W WOODS DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY HERNANDEZ (CREDENTIALING AGENT)
(623) 258-4520
Entity
Organization
Contact information
Practice address
5730 WARD RD STE 203, ARVADA, CO 80002-1300
(303) 423-0930
(303) 423-1034
Mailing address
5730 WARD RD STE 203, ARVADA, CO 80002-1300
(303) 423-0930
(303) 423-1034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27342403
LICENSE
CO
Enumeration date
05/21/2018
Last updated
11/08/2018
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