| Jean Woo, Dds, P.a. | |
|
136 Staff Dr Ne # B Fort Walton Beach FL 32548-5062 | |
| (850) 243-7177 | |
| (850) 243-4929 |
| Full Name | Jean Woo, Dds, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 136 Staff Dr Ne # B, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Jean Woo (PRESIDENT) |
| Authorized Official Contact | 8502437177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Woo, Dds, P.a. 136 Staff Dr Ne # B Fort Walton Beach FL 32548-5062 Ph: (850) 243-7177 | Jean Woo, Dds, P.a. 136 Staff Dr Ne # B Fort Walton Beach FL 32548-5062 Ph: (850) 243-7177 |
| NPI Number | 1871659987 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871659987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN10017 (Florida) | Primary |
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