| Jerry K Wu Dmd Inc | |
|
1254 Irvine Blvd Ste 160 Tustin CA 92780-3573 | |
| (714) 828-0010 | |
| Not Available |
| Full Name | Jerry K Wu Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1254 Irvine Blvd Ste 160, Tustin, California |
| Authorized Official Name and Position | Jerry K Wu (PRESIDENT) |
| Authorized Official Contact | 7148380010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry K Wu Dmd Inc 1254 Irvine Blvd Ste 160 Tustin CA 92780-3573 Ph: (714) 828-0010 | Jerry K Wu Dmd Inc 1254 Irvine Blvd Ste 160 Tustin CA 92780-3573 Ph: (714) 828-0010 |
| NPI Number | 1841846292 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841846292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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