Provider Demographics
NPI:1821116534
Name:VALERIE V WOO DMD PC
Entity Type:Organization
Organization Name:VALERIE V WOO DMD PC
Other - Org Name:NOVA PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:V
Authorized Official - Last Name:WOO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-729-7005
Mailing Address - Street 1:21785 FILIGREE CT
Mailing Address - Street 2:#208
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147
Mailing Address - Country:US
Mailing Address - Phone:703-229-7005
Mailing Address - Fax:703-729-5799
Practice Address - Street 1:21785 FILIGREE COURT
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147
Practice Address - Country:US
Practice Address - Phone:703-729-7005
Practice Address - Fax:703-729-5799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014110041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty