DR. Gordon Wilson Woollard, DDS MS

NPI #1265482350 in Ft Polk, Louisiana

Provider Information

NPI Number: 1265482350
Entity Type: Individual
Name: DR. Gordon Wilson Woollard, DDS MS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - Endodontics
Credential: DDS MS
Enumeration Date: May 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1840 BELLRICHARD
Address 2: CHESSER DENTAL CLINIC
City: Ft Polk
State: Louisiana
ZIP Code: 71459
Phone: (337) 531-4854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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