Individual
JONATHAN P.C. WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3916 PRINCE ST STE M52, FLUSHING, NY 11354
(929) 266-9888
(929) 266-9889
Mailing address
3916 PRINCE ST STE M52, FLUSHING, NY 11354-5368
(929) 266-9888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060621
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
08/23/2019
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