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Individual

DR. RICHARD OWEN WOODWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3195 S MAIN ST STE 200, SALT LAKE CITY, UT 84115-3749
(801) 468-0342
Mailing address
6751 OLIVET DR, SALT LAKE CITY, UT 84121-2712
(801) 943-4625

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
131873-9921
UT

Other

Enumeration date
09/22/2006
Last updated
08/20/2007
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