Organization
JOHN G. WOOD, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS POMMERENING (OFFICE MANAGER)
(623) 561-2400
Entity
Organization
Contact information
Practice address
20100 N 51ST AVE, SUITE E-550, GLENDALE, AZ 85308-5125
(623) 561-2400
(623) 561-2425
Mailing address
20100 N 51ST AVE, SUITE E-550, GLENDALE, AZ 85308-5125
(623) 561-2400
(623) 561-2425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3219
AZ
1223G0001X
General Practice Dentistry
9516
AZ
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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