Individual
DR. DI WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6655 TRAVIS ST, #460, PEDIATRIC DENTISTRY, HOUSTON, TX 77030-1312
(734) 945-0451
Mailing address
6655 TRAVIS ST, #460, PEDIATRIC DENTISTRY, HOUSTON, TX 77030-1312
(734) 945-0451
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2901020851
MI
1223P0221X
Pediatric Dentistry
Primary
30384
TX
390200000X
Student in an Organized Health Care Education/Training Program
2901020851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3390767-01
—
TX
Enumeration date
12/06/2012
Last updated
01/10/2017
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