Individual
DR. CHARLES WALTER WOODRUFF II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
JOINT BASE LEWIS-MCCORD DENTAC, DENTAL CLINIC 3, JBLM, WA 98327
(253) 966-7855
Mailing address
2220 WESTRIDGE AVE W, D101, TACOMA, WA 98466-1841
(602) 820-9502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60599190
WA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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