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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