Individual
DR. DAVID LAWRENCE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2015 W GLEN AVE, SUITE 230, PEORIA, IL 61614-4690
(309) 673-4616
(309) 673-6089
Mailing address
2015 W GLEN AVE, SUITE 230, PEORIA, IL 61614-4690
(309) 673-4616
(309) 673-6089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019595
IL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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