Provider Demographics
NPI:1902942121
Name:WOOD, ANNETTE P (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:P
Last Name:WOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 W HOLCOMBE BLVD STE 335
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2030
Mailing Address - Country:US
Mailing Address - Phone:713-660-6484
Mailing Address - Fax:713-668-4838
Practice Address - Street 1:2201 W HOLCOMBE BLVD STE 335
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2030
Practice Address - Country:US
Practice Address - Phone:713-660-6484
Practice Address - Fax:713-668-4838
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX166141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice