| Larry A Woznuk Dds Inc | |
|
3625 Midway Dr Ste A San Diego CA 92110-5253 | |
| (619) 224-2204 | |
| Not Available |
| Full Name | Larry A Woznuk Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3625 Midway Dr, San Diego, California |
| Authorized Official Name and Position | Larry Woznuk (OWNER) |
| Authorized Official Contact | 6192242204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry A Woznuk Dds Inc 3625 Midway Dr Ste A San Diego CA 92110-5253 Ph: (619) 224-2204 | Larry A Woznuk Dds Inc 3625 Midway Dr Ste A San Diego CA 92110-5253 Ph: (619) 224-2204 |
| NPI Number | 1801341847 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801341847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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