DR. Lincoln C Woodrome, DMD

NPI #1801929625 in Mount Vernon, Illinois

Provider Information

NPI Number: 1801929625
Entity Type: Individual
Name: DR. Lincoln C Woodrome, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4214 LINCOLNSHIRE DR
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2156
Phone: (618) 242-7989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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