Most Relevant Information
Provider Data
| NPI Number: | 1003308099 |
| Provider Name: | MATTHEW TYLER WOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DEN00203585 |
Most Important Dates
| Enumeration Date: | 06/05/2018 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
7610 W US HIGHWAY 50
SALIDA
CO
812019344
Practice Location Phone/Fax
| Phone: | 7195395440 |
| Fax: |
Provider Mailing Location
2753 JANITELL RD
COLORADO SPRINGS
CO
809064102
Provider Mailing Phone/Fax
| Phone: | 7193555305 |
| Fax: |