Individual
DANIEL WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1411 FILLMORE ST STE 602, TWIN FALLS, ID 83301-3343
(208) 733-0494
(208) 733-2713
Mailing address
PO BOX 266, GLENNS FERRY, ID 83623-0266
(208) 587-3988
(208) 587-3324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4427
ID
Other
Enumeration date
07/06/2006
Last updated
02/07/2024
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