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Organization

JEAN WOO, DDS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEAN WOO D.D.S. (PRESIDENT)
(850) 243-7177
Entity
Organization

Contact information

Practice address
136 STAFF DR NE # B, FORT WALTON BEACH, FL 32548-5062
(850) 243-7177
(850) 243-4929
Mailing address
136 STAFF DR NE # B, FORT WALTON BEACH, FL 32548-5062
(850) 243-7177
(850) 243-4929

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN10017
FL

Other

Enumeration date
01/01/2007
Last updated
08/22/2020
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