| Thomas H. Wu, D.d.s., Inc. | |
|
1103 S San Gabriel Blvd Suite A San Gabriel CA 91776 | |
| (626) 286-7000 | |
| Not Available |
| Full Name | Thomas H. Wu, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1103 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Tom Haohsien Wu (OWNER) |
| Authorized Official Contact | 6262867000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas H. Wu, D.d.s., Inc. 1103 S San Gabriel Blvd Suite A San Gabriel CA 91776-3100 Ph: (626) 286-7000 | Thomas H. Wu, D.d.s., Inc. 1103 S San Gabriel Blvd Suite A San Gabriel CA 91776 Ph: (626) 286-7000 |
| NPI Number | 1710335526 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710335526 | NPI | - | NPPES |
| 1306066451 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38776 (California) | Primary |
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