| Kenneth Y Wu | |
|
5624 W 79th St Ste 5 Burbank IL 60459-1391 | |
| (708) 423-5191 | |
| Not Available |
| Full Name | Kenneth Y Wu |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5624 W 79th St Ste 5, Burbank, Illinois |
| Authorized Official Name and Position | Kenneth Y Wu (DENTIST) |
| Authorized Official Contact | 7084235191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Y Wu 5624 W 79th St Ste 5 Burbank IL 60459-1391 Ph: (708) 423-5191 | Kenneth Y Wu 5624 W 79th St Ste 5 Burbank IL 60459-1391 Ph: (708) 423-5191 |
| NPI Number | 1528232709 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528232709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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