# DR. LISA G WU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700191202
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 64929 | CA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D14112 | MN | — |
| 124Q00000X | Dental Hygienist | 25146 | CA | — |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 06/12/2024