Individual
DR. GRACE WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1212 12TH ST, MODESTO, CA 95354-0704
(209) 238-9700
Mailing address
16833 HALLMARK CT, CASTRO VALLEY, CA 94552-1632
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
101159
CA
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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