| NPI | 1568638633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SAMUEL WOO Owner 707-762-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 39579) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |