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NPI Code Detail

MEDICARE: DANIEL KEITH WOODSON D.D.S.

MEDICARE:   DANIEL KEITH WOODSON  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry23417CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225046402
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL KEITH WOODSON D.D.S.
Provider Business Mailing Address
First Line : PO BOX 1098
Second Line :
City : FORESTHILL
State : CA
Zip : 95631-1098
Country : US
Telephone Number : 530-367-2250
Fax Number : 530-367-4735
Provider Business Practice Location Address
First Line : 24400 MAIN ST
Second Line :
City : FORESTHILL
State : CA
Zip : 95631
Country : US
Telephone Number : 530-367-2250
Fax Number : 530-367-4735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/09/2007

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Directions to “ DANIEL KEITH WOODSON D.D.S.” Practice Location

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