Individual
MICHAEL WOODHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10208 E STATE ROUTE 350, RAYTOWN, MO 64138-1805
(816) 356-2476
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021017235
MO
Other
Enumeration date
07/12/2019
Last updated
04/22/2024
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