Organization
DRS. WOO AND DEBERARDINIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SAMUEL WOO D.D.S. (OWNER)
(707) 762-0211
Entity
Organization
Contact information
Practice address
1476 PROFESSIONAL DR, SUITE 506, PETALUMA, CA 94954-1500
(707) 762-0211
(707) 762-5149
Mailing address
1476 PROFESSIONAL DR, SUITE 506, PETALUMA, CA 94954-1500
(707) 762-0211
(707) 762-5149
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39579
CA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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