Individual
DR. BROOKE M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9804 BLUEBONNET BLVD, STE A, BATON ROUGE, LA 70810-6442
(225) 796-1969
Mailing address
9804 BLUEBONNET BLVD, STE A, BATON ROUGE, LA 70810-6442
(225) 796-1969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5846
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858463
—
LA
Enumeration date
06/18/2007
Last updated
12/23/2011
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