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Jeff Wu

Dentist in Alhambra, CA. Individual provider (NPI-1).

NPI number1124472287
StatusActive
Last updated in NPPESJan 5, 2022

Details

NPI
1124472287
Entity type
Individual (NPI-1)
Name
Jeff Wu
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 14, 2016
Certification date
Jan 5, 2022
Last updated
Jan 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist100120CAYes

Practice location

2201 Whitney Dr
Alhambra, CA 91803-3842

Phone 626-476-5097

Mailing address

2201 Whitney Dr
Alhambra, CA 91803-3842

Phone 626-476-5097

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