NPI 1093855272

Gary Bruce Woodcock, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Gallup, NM

Practice location

Address: 516 East Nizhoni Blvd., Gallup, NM 87301-1337
Phone: (505) 722-1560
Fax: (505) 722-1563
Mailing address: P.O. Box 1337, Gallup, NM 87305-1337

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 25656 (CA)

Other Dentist providers in New Mexico →

Registry record

NPI: 1093855272
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2007
Record last updated: 31 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.