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Individual

DR. ROBERT DONALD WOOD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1015 W CHESTNUT ST, LOUISVILLE, KY 40203-2048
(502) 584-2992
(502) 584-3715
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4783

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9238
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100216440
KY
Enumeration date
07/31/2012
Last updated
12/09/2013
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