Individual
CASEY WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1725 BERRYESSA RD, SUITE B, SAN JOSE, CA 95133-1173
(408) 259-2900
Mailing address
1725 BERRYESSA RD, SUITE B, SAN JOSE, CA 95133-1173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64660
CA
Other
Enumeration date
07/12/2015
Last updated
07/13/2015
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