DR. Charles Walter Woodruff II

NPI #1649621400 in Jblm, Washington

Provider Information

NPI Number: 1649621400
Entity Type: Individual
Name: DR. Charles Walter Woodruff II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 23, 2016
Last Updated: Jun 23, 2016

Practice Location

Address: JOINT BASE LEWIS-MCCORD DENTAC
Address 2: DENTAL CLINIC 3
City: Jblm
State: Washington
ZIP Code: 98327
Phone: (253) 966-7855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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