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Individual
DR. LINDA HUNPONU-WUSU
Active
Individual
DR. LINDA HUNPONU-WUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053630
NY
122300000X
Dentist
Primary
22DI02412201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
05
—
0305677
—
NJ
01
—
13-2960287
TAX ID
NY
Enumeration date
03/10/2008
Last updated
10/09/2012
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