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Organization
JERRY K WU DMD INC
Active
Organization
JERRY K WU DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY K WU DMD (PRESIDENT)
(714) 838-0010
Entity
Organization
Contact information
Practice address
1254 IRVINE BLVD STE 160, TUSTIN, CA 92780-3573
(714) 828-0010
Mailing address
1254 IRVINE BLVD STE 160, TUSTIN, CA 92780-3573
(714) 828-0010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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