| Daniel K. Woodson, Dds | |
|
24400 Main St Foresthill CA 95631 | |
| (530) 367-2250 | |
| (530) 367-4735 |
| Full Name | Daniel K. Woodson, Dds |
|---|---|
| Speciality | Dentist |
| Location | 24400 Main St, Foresthill, California |
| Authorized Official Name and Position | Daniel Keith Woodson (OWNER) |
| Authorized Official Contact | 5303672250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel K. Woodson, Dds Po Box 1098 Foresthill CA 95631-1098 Ph: (530) 367-2250 | Daniel K. Woodson, Dds 24400 Main St Foresthill CA 95631 Ph: (530) 367-2250 |
| NPI Number | 1558553990 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558553990 | NPI | - | NPPES |
| D23417-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23417 (California) | Primary |
Steven Bonzell Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24400 Main St, Foresthill, CA 95631 Phone: 530-367-2250 | |
Michael J. Young, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24400 Main St, Foresthill, CA 95631 Phone: 530-367-2250 Fax: 530-367-4735 |