Individual
DR. JAMES BANTZ WOODDELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 RIDGELY AVE STE 225, ANNAPOLIS, MD 21401-1089
(410) 224-9608
Mailing address
823 LONDONTOWN RD, EDGEWATER, MD 21037-2120
(410) 703-3639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17160
MD
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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