Provider Demographics
NPI:1568805653
Name:WOOD, LUCINDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUCINDA
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LUCINDA
Other - Middle Name:
Other - Last Name:AMOROSANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6702 E CAVE CREEK RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-8659
Mailing Address - Country:US
Mailing Address - Phone:480-620-5366
Mailing Address - Fax:623-738-3940
Practice Address - Street 1:6702 E CAVE CREEK RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-8659
Practice Address - Country:US
Practice Address - Phone:480-620-5366
Practice Address - Fax:623-738-3940
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37044122300000X
AZD008882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist