Organization
THOMAS H. WU, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM HAOHSIEN WU DDS (OWNER)
(626) 286-7000
Entity
Organization
Contact information
Practice address
1103 S SAN GABRIEL BLVD, SUITE A, SAN GABRIEL, CA 91776
(626) 286-7000
Mailing address
1103 S SAN GABRIEL BLVD, SUITE A, SAN GABRIEL, CA 91776-3100
(626) 286-7000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306066451
MEDICAL
CA
Enumeration date
06/02/2016
Last updated
08/30/2018
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