Individual
ANGELA WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
111 JOHN ST RM 530, NEW YORK, NY 10038-0077
(212) 619-7899
Mailing address
111 JOHN ST RM 530, NEW YORK, NY 10038-0077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060965
NY
122300000X
Dentist
DN1857436
MA
Other
Enumeration date
11/03/2016
Last updated
06/15/2020
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