Individual
DR. KENNETH K WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
1563 FALL RIVER AVE, SEEKONK, MA 02771-3736
(508) 336-7755
(508) 336-9940
Mailing address
1563 FALL RIVER AVE, SEEKONK, MA 02771-3736
(508) 336-7755
(508) 336-9940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16623
DELTA DENTAL
RI
01
—
190633
UNITED CONCORDIA
—
01
—
8503-4
BLUE CROSS BLUE SHIELD
RI
01
—
X11529
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/10/2008
Last updated
06/10/2008
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