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Individual

DR. ELISE WOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(682) 203-6170
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-6531

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6522
OK

Other

Enumeration date
07/23/2013
Last updated
08/02/2013
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