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:
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Health care specialties

SpecialtyCodeLicense #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 19 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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