Reginald Woo Dmd Ltd.
Clinic/Center, Dental in Cicero, IL. Organization (NPI-2).
NPI number1326537887
StatusActive
Last updated in NPPESMay 9, 2018
Details
- NPI
- 1326537887
- Entity type
- Organization (NPI-2)
- Legal business name
- Reginald Woo Dmd Ltd.
- Organization subpart
- No
- Enumeration date
- May 9, 2018
- Last updated
- May 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
5315 W Cermak RdCicero, IL 60804-2817
Phone 708-222-8505
Mailing address
8535 Menard AveBurbank, IL 60459-2660
Authorized official
Reginald Woo
President
4152980819
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