Provider Demographics
NPI:1932284213
Name:WOO, VICTORIA LUO-KEI (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LUO-KEI
Last Name:WOO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8887
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75404-8887
Mailing Address - Country:US
Mailing Address - Phone:214-828-8110
Mailing Address - Fax:214-828-8306
Practice Address - Street 1:3302 GASTON AVE STE 212
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2013
Practice Address - Country:US
Practice Address - Phone:214-828-8110
Practice Address - Fax:214-828-8306
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS1-15C1223P0106X
NY053225-11223P0106X
TX359711223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0058921Medicaid
NJPENDINGMedicaid
NYDF0871Medicare ID - Type Unspecified
NJPENDINGMedicaid