Organization
KENNETH K WOO PC
Active
Other names
SeeKonk Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH K WOO DDS (PRESIDENT)
(508) 336-7755
Entity
Organization
Contact information
Practice address
1563 FALL RIVER AVE, SEEKONK, MA 02771
(508) 336-7755
(508) 336-9970
Mailing address
1563 FALL RIVER AVE, SEEKONK, MA 02771
(508) 336-7755
(508) 336-9970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005993224
AETNA
—
01
—
14495-1
UNITED HEALTH CARE
—
01
—
16623
DELTA DENTAL
RI
01
—
190633
UNITED CONCORDIA
—
01
—
8503-4
BLUE CROSS - RI
RI
01
—
X11529
BLUE CROSS - MA
MA
Enumeration date
09/22/2006
Last updated
08/22/2020
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