Organization
BRIAN M. WOO, D.D.S., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL WOO D.D.S., M.D. (PRESIDENT/OWNER)
(559) 459-5120
Entity
Organization
Contact information
Practice address
290 NORTH WAYTE LANE, FRESNO, CA 93701-1324
(559) 459-5120
Mailing address
290 NORTH WAYTE LANE, FRESNO, CA 93701-1324
(559) 459-5120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50017
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
50017
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50017
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A107428
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A107428
CA
2086S0127X
Trauma Surgery Physician
A107428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50017
DENTAL LICENSE
CA
01
—
A107428
MEDICAL LICENSE
CA
01
—
GA 1484
GENERAL ANESTHESIA LICENSE
CA
Enumeration date
05/11/2009
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us