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Individual

DR. KENNETH Y WU

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5624 W 79TH ST, #5, BURBANK, IL 60459-1381
(630) 209-5351
Mailing address
5624 W 79TH ST, #5, BURBANK, IL 60459-1381
(630) 209-5351

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
10/17/2005
Last updated
07/08/2007
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