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General NPI Number Information
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NPI Number | 1811194152
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Entity Type | Organization
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Legal Business Name | DONNA J. WOO, D.D.S. INC.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 420 S STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-4119
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Country | US
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Telephone | 909-973-4086
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Fax |
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Provider Business Mailing Address
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Address Line | 420 S STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-4119
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Country | US
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Telephone | 714-772-0770
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Fax |
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Authorized Official
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Title or Position | DENTIST BUSINESS OWNER
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Name | DR. DONNA JEANETTE WOO
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Credential | D.D.S.
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Telephone | 714-772-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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