| Sarita L Woodson Dds | |
|
715 Lake St Ste 240 Oak Park IL 60301-1411 | |
| (708) 660-9113 | |
| (708) 660-2207 |
| Full Name | Sarita L Woodson Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 715 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Sarita L Woodson (DENTIST) |
| Authorized Official Contact | 7086609113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarita L Woodson Dds 715 Lake St Ste 240 Oak Park IL 60301-1411 Ph: (708) 660-9113 | Sarita L Woodson Dds 715 Lake St Ste 240 Oak Park IL 60301-1411 Ph: (708) 660-9113 |
| NPI Number | 1346466356 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346466356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023319 (Illinois) | Primary |
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