Organization
THOMAS WOODARD DDS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WOODARD DDS (ORTHODONTIST)
(757) 455-5040
Entity
Organization
Contact information
Practice address
415 N MILITARY HWY STE 8, NORFOLK, VA 23502-5407
(757) 455-5040
(757) 455-5043
Mailing address
415 N MILITARY HWY STE 8, NORFOLK, VA 23502-5407
(757) 455-5040
(757) 455-5043
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
401008079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180412
—
VA
Enumeration date
05/02/2007
Last updated
08/18/2008
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