Individual
DR. EDWARD WOODBINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4133 WHITE PLAINS RD, BRONX, NY 10466-3009
(347) 328-4169
Mailing address
300 LINDEN BLVD APT 5C, BROOKLYN, NY 11226-3573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056010
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
056010
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2010
Last updated
11/27/2020
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