| Jimmy Wu, Dds, Professional Dental Corporation | |
|
1301 Ynez Pl Coronado CA 92118-2925 | |
| (619) 435-6227 | |
| (619) 435-4117 |
| Full Name | Jimmy Wu, Dds, Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1301 Ynez Pl, Coronado, California |
| Authorized Official Name and Position | Jimmy Wu (CEO/DENTIST) |
| Authorized Official Contact | 6199925774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Wu, Dds, Professional Dental Corporation 1301 Ynez Place Coronado CA 92118 Ph: (619) 435-6227 | Jimmy Wu, Dds, Professional Dental Corporation 1301 Ynez Pl Coronado CA 92118-2925 Ph: (619) 435-6227 |
| NPI Number | 1215205968 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215205968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47019 (California) | Primary |
Chung Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Ynez Pl, Coronado, CA 92118 Phone: 619-435-6227 Fax: 619-435-4717 | |
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Martha E. Morett Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 2nd St Ste A, Coronado, CA 92118 Phone: 619-435-6840 Fax: 619-435-6847 | |
Advanced Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 8th St Ste A, Coronado, CA 92118 Phone: 619-435-4444 Fax: 619-435-5379 | |
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