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Individual
DR. JONATHAN C. FU
Active
Individual
DR. JONATHAN C. FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
055713
NY
122300000X
Dentist
Primary
29468
TX
122300000X
Dentist
60617
CA
122300000X
Dentist
DT-2527
HI
Other
Enumeration date
06/16/2011
Last updated
05/22/2014
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