Provider Demographics
NPI:1588864508
Name:WOODS, CRAIG DENNIS (DDS)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:DENNIS
Last Name:WOODS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 S CATALINA AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5516
Mailing Address - Country:US
Mailing Address - Phone:310-378-1229
Mailing Address - Fax:310-825-9808
Practice Address - Street 1:1921 S CATALINA AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5516
Practice Address - Country:US
Practice Address - Phone:310-378-1229
Practice Address - Fax:310-825-9808
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30658122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist