Individual
DR. GLENN ELGIN WOODLIEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
WARREN CORRECTIONAL INSTITUTION - COLLINS ROAD, MANSON, NC 27553
(252) 456-3400
(252) 456-2778
Mailing address
5021 OLD HWY 75, OXFORD, NC 27565
(919) 693-6415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4133
NC
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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