=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821116534
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALERIE V WOO DMD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2007
-----------------------------------------------------
Last Update Date | 08/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21785 FILIGREE COURT
-----------------------------------------------------
City | ASHBURN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-729-7005
-----------------------------------------------------
Fax | 703-729-5799
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21785 FILIGREE CT #208
-----------------------------------------------------
City | ASHBURN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-229-7005
-----------------------------------------------------
Fax | 703-729-5799
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | VALERIE V. WOO
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 703-729-7005
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number | 0401411004
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------