Charles G. Wood D.m.d.p.a.
NPI #1063430924 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1063430924
- Entity Type
- Organization
- Organization Name
- Charles G. Wood D.m.d.p.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1213 BROAD AVE # STD-1
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-2475
- Phone
- (228) 863-5171
Authorized Official
- Name
- DR. CHARLES G WOOD, D.M.D.
- Title
- DENTIST
- Phone
- (228) 863-5171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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