Valerie Woodruff Dds Pc | |
200 N Eastwood Drive Mahomet IL 61853 | |
(217) 586-5667 | |
(217) 586-5781 |
Full Name | Valerie Woodruff Dds Pc |
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Speciality | Dentist - General Practice |
Location | 200 N Eastwood Drive, Mahomet, Illinois |
Authorized Official Name and Position | Valerie Woodruff (PRESIDENT) |
Authorized Official Contact | 2175865667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valerie Woodruff Dds Pc Po Box 709 200 N Eastwood Drive Mahomet IL 61853 Ph: (217) 586-5667 | Valerie Woodruff Dds Pc 200 N Eastwood Drive Mahomet IL 61853 Ph: (217) 586-5667 |
NPI Number | 1629227392 |
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Provider Enumeration Date | 09/17/2008 |
Last Update Date | 09/17/2008 |
Identifier | Type | State | Issuer |
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1629227392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 060.009802 (Illinois) | Primary |