DR. Woodstock Tom, DMD

NPI #1164819108 in Las Vegas, Nevada

Provider Information

NPI Number: 1164819108
Entity Type: Individual
Name: DR. Woodstock Tom, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 16, 2015
Last Updated: Jun 17, 2015

Practice Location

Address: 4318 S EASTERN AVE
City: Las Vegas
State: Nevada
ZIP Code: 89119-6016
Phone: (702) 736-6119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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