| NPI | 1811194152 |
|---|---|
| Doing Business As | WESTPORT DENTAL |
| Entity Type | Organization |
| Authorized Contact | DONNA JEANETTE WOO Dentist Business Owner 714-772-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-03-11 |