Organization
KENNETH Y WU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH Y WU (DENTIST)
(708) 423-5191
Entity
Organization
Contact information
Practice address
5624 W 79TH ST STE 5, BURBANK, IL 60459-1391
(708) 423-5191
Mailing address
5624 W 79TH ST STE 5, BURBANK, IL 60459-1391
(708) 423-5191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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