Wood, Charles Conley
Wood, Charles Conley is an individual health care provider with primary practice located at 620 Montana Ave , Santa Monica CA 90403-1402. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wood, Charles Conley can be contacted via phone (310) 451-5563.Contact Information
Primary practice address
620 Montana Ave
Santa Monica CA 90403-1402
Phone: (310) 451-5563
Fax: (310) 451-5218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 25655 | California |
Profile Details
| NPI number | 1295738169 |
|---|---|
| LBN Legal business name | Wood, Charles Conley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 19th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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