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Individual

DR. ASHLEIGH WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, BLDG H 2005 KNIGHT LANE, JACKSONVILLE, FL 32212-0140
(760) 725-3213
Mailing address
SAN MATEO DENTAL CLINIC CAMP PENDLETON, SAN CLEMENTE, CA 92672

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS101898
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DDS101898
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
09/18/2017
Last updated
06/29/2018
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