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Organization
DONNA J. WOO, D.D.S. INC.
Active
Organization
DONNA J. WOO, D.D.S. INC.
Active
Other names
Westport Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA JEANETTE WOO D.D.S. (DENTIST BUSINESS OWNER)
(714) 772-0770
Entity
Organization
Contact information
Practice address
420 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4119
(909) 973-4086
Mailing address
420 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4119
(714) 772-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
764870
UNITED CONCORDIA PROV. #
CA
01
—
G92495-01
DENTI-CAL
CA
Enumeration date
06/29/2007
Last updated
03/11/2021
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