| Drs. Woo And Deberardinis | |
|
1476 Professional Dr Suite 506 Petaluma CA 94954-1500 | |
| (707) 762-0211 | |
| (707) 762-5149 |
| Full Name | Drs. Woo And Deberardinis |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1476 Professional Dr, Petaluma, California |
| Authorized Official Name and Position | John Samuel Woo (OWNER) |
| Authorized Official Contact | 7077620211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Woo And Deberardinis 1476 Professional Dr Suite 506 Petaluma CA 94954-1500 Ph: (707) 762-0211 | Drs. Woo And Deberardinis 1476 Professional Dr Suite 506 Petaluma CA 94954-1500 Ph: (707) 762-0211 |
| NPI Number | 1568638633 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568638633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 39579 (California) | Primary |
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