Individual
DR. MARK DAVID WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1140 W SOUTH BOULDER RD STE 103, LAFAYETTE, CO 80026-8910
(303) 604-9663
(303) 666-9213
Mailing address
1140 W SOUTH BOULDER RD STE 103, LAFAYETTE, CO 80026-8910
(303) 604-9663
(303) 666-9213
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7818
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402935
UNITED CONCORDIA ID #
PA
Enumeration date
07/12/2005
Last updated
05/11/2023
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