Individual
DR. YICHING JEANNIE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2628 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2724
(574) 233-7266
(574) 233-7560
Mailing address
2628 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2724
(574) 233-7266
(574) 233-7560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012664A
IN
122300000X
Dentist
DS040338
PA
Other
Enumeration date
05/26/2015
Last updated
01/11/2021
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