| Ejc Wood Llc | |
|
20310 West Rd. Woodhaven MI 48183 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Ejc Wood Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20310 West Rd., Woodhaven, Michigan |
| Authorized Official Name and Position | Patricia Lucas (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ejc Wood Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Ejc Wood Llc 20310 West Rd. Woodhaven MI 48183 Ph: (315) 454-6000 |
| NPI Number | 1902573462 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902573462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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