Individual
JONATHAN THOMAS WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3330 PIEDMONT RD NE STE 13, ATLANTA, GA 30305-1726
(404) 237-5330
Mailing address
582 AUTUMN SHORE DR, LAWRENCEVILLE, GA 30044-7427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015689
GA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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