Individual
ELAINE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 MAIN ST, TEWKSBURY, MA 01876-4774
(978) 451-1500
Mailing address
1201 MAIN ST, TEWKSBURY, MA 01876-4774
(978) 451-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0442000364
VA
1223G0001X
General Practice Dentistry
Primary
DN1858598
MA
Other
Enumeration date
02/29/2020
Last updated
02/11/2021
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