| Stephen M. Woodall, Dds | |
|
3180 Willow Ln Suite 208 Thousand Oaks CA 91361-4941 | |
| (805) 496-9775 | |
| (805) 373-7084 |
| Full Name | Stephen M. Woodall, Dds |
|---|---|
| Speciality | Dentist |
| Location | 3180 Willow Ln, Thousand Oaks, California |
| Authorized Official Name and Position | Steve Woodall (OWNER) |
| Authorized Official Contact | 8054969775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M. Woodall, Dds 3180 Willow Ln Suite 208 Thousand Oaks CA 91361-4941 Ph: (805) 496-9775 | Stephen M. Woodall, Dds 3180 Willow Ln Suite 208 Thousand Oaks CA 91361-4941 Ph: (805) 496-9775 |
| NPI Number | 1871637355 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871637355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45794 (California) | Primary |
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