Individual
WAYLAND CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24981 DANA POINT HARBOR DR STE 120, DANA POINT, CA 92629-2931
(949) 441-5965
Mailing address
12170 WYNE CT, TUSTIN, CA 92782-1184
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
101908
CA
Other
Enumeration date
08/21/2017
Last updated
03/17/2018
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