Individual
MARK STEVEN WOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2228 MAIDEN LANE, JOPLIN, MO 64804
(417) 624-1069
(417) 624-1069
Mailing address
2228 MAIDEN LANE, JOPLIN, MO 64804
(417) 624-1069
(417) 624-1069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015258
MO
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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