Provider Demographics
NPI:1245306638
Name:WOO, JAEJUNE (DDS)
Entity type:Individual
Prefix:DR
First Name:JAEJUNE
Middle Name:
Last Name:WOO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 RYDERS LN
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2765
Mailing Address - Country:US
Mailing Address - Phone:732-432-8388
Mailing Address - Fax:732-432-8366
Practice Address - Street 1:444 RYDERS LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2765
Practice Address - Country:US
Practice Address - Phone:732-432-8388
Practice Address - Fax:732-432-8366
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI208771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice