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Individual

TAMMY WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
260 E MAIN ST, SUITE #109, SMITHTOWN, NY 11787-2982
(631) 361-3577
Mailing address
260 E MAIN ST, SUITE #109, SMITHTOWN, NY 11787-2982
(631) 979-8413

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
017974-1
NY

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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