Jerry K Wu Dmd INC
Dentist in Tustin, CA. Organization (NPI-2).
NPI number1841846292
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1841846292
- Entity type
- Organization (NPI-2)
- Legal business name
- Jerry K Wu Dmd INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2019
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
1254 Irvine Blvd Ste 160Tustin, CA 92780-3573
Phone 714-828-0010
Mailing address
1254 Irvine Blvd Ste 160Tustin, CA 92780-3573
Phone 714-828-0010
Authorized official
Jerry K Wu
President
7148380010
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