Individual
VICKI L WOODYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 S CHARLES ST, CHARLES TOWN, WV 25414-1613
(304) 725-4492
Mailing address
115 S CHARLES ST, CHARLES TOWN, WV 25414-1613
(304) 725-4492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3671
WV
Other
Enumeration date
07/22/2006
Last updated
05/21/2015
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