Individual
DR. IAN WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, DDS, MD
Contact information
Practice address
763 CEREZA DR, MONTEREY PARK, CA 91754-2317
(323) 369-1066
Mailing address
763 CEREZA DR, MONTEREY PARK, CA 91754-2317
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
50018
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A97980
CA
Other
Enumeration date
07/02/2008
Last updated
06/17/2009
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