Individual
DR. SHIN-ING JEREMY TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
115 N. HWY 965, NORTH LIBERTY, IA 52317-9237
(319) 626-2222
(319) 626-6610
Mailing address
PO BOX 915, NORTH LIBERTY, IA 52317-0915
(319) 626-2222
(319) 626-6610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2107719
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279349
—
IA
Enumeration date
10/05/2006
Last updated
11/18/2015
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