Individual
DR. MARK WILLIAM WOODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4600 W 89TH ST, PRAIRIE VILLAGE, KS 66207-2251
(913) 642-8811
(913) 642-8813
Mailing address
4600 W 89TH ST, PRAIRIE VILLAGE, KS 66207-2251
(913) 642-8811
(913) 642-8813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2000150743
MO
122300000X
Dentist
410236
VA
122300000X
Dentist
60010
KS
1223G0001X
General Practice Dentistry
Primary
60010
KS
Other
Enumeration date
01/08/2006
Last updated
10/24/2023
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