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Individual
DR. LISA G WU
Active
Individual
DR. LISA G WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64929
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D14112
MN
124Q00000X
Dental Hygienist
25146
CA
Other
Enumeration date
08/10/2010
Last updated
06/12/2024
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