Individual
WENCHOU WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
51 W 51ST ST, NEW YORK, NY 10019-6113
(205) 261-3240
Mailing address
630 W 168TH ST PH 7, ROOM 7-119, NEW YORK, NY 10032-3725
(646) 317-1756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DENT.DE.60055554
WA
1223P0700X
Prosthodontics
000142-01
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
000142-01
NY
Other
Enumeration date
11/24/2008
Last updated
02/01/2024
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