Individual
TERRELL WOODMANSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5974 FASHION POINT DR, OGDEN, UT 84403-4699
(801) 475-6121
Mailing address
5974 FASHION POINT DR, OGDEN, UT 84403-4699
(801) 475-6121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
309191-9922
UT
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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