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Individual

BILLY BROOKS WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1001 CATHEDRAL ST, BALTIMORE, MD 21201-5403
(410) 837-2050
(410) 837-2071
Mailing address
1111 N. CHARLES ST., BALTIMORE, MD 21201-5403
(410) 837-2050
(410) 837-2071

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11032
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132190100
MD
05
200804100
MD
Enumeration date
08/03/2006
Last updated
09/18/2013
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