Individual
ATHENA FU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-4704
Mailing address
21 LUCILLE CT, EDISON, NJ 08820-2044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03012300
NJ
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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