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JEFF WU
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1124472287
Individual Registrant: JEFF WU
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2201 WHITNEY DR ALHAMBRA, CA 91803-3842 US
Tel: 626-476-5097 Fax: --
Tel: 626-476-5097 Fax: --
Contact information for business:
2201 WHITNEY DR ALHAMBRA, CA 91803-3842 US
Tel: 626-476-5097 Fax: --
Tel: 626-476-5097 Fax: --
Registration Information:
NPI: 1124472287
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 100120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
