Individual
CARL THOMAS WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1795 WEST STADIUM BLVD, ANN ARBOR, MI 48103-5257
(734) 761-2144
(734) 662-4156
Mailing address
1514 MARTHA AVE, ANN ARBOR, MI 48103-5369
(734) 663-1752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901008890
MI
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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