Individual
DR. FRED DICKSON WOOD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
63 MAIN ST, WELLSBORO, PA 16901-1567
(570) 724-9663
(570) 724-2960
Mailing address
63 MAIN ST, WELLSBORO, PA 16901-1567
(570) 724-9663
(570) 724-2960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS015975L
PA
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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