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NPI Code Detail

MEDICARE: DAVID MING-HAI WU DDS

MEDICARE: DAVID MING-HAI WU DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry22D102329500 SP#5750NJ
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry050111NY

General Provider Information

NPI Number : 1346202397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MING-HAI WU DDS
Provider Business Mailing Address
First Line : 622 E PARK AVE
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2505
Country : US
Telephone Number : 516-432-5195
Fax Number :
Provider Business Practice Location Address
First Line : 622 E PARK AVE
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2505
Country : US
Telephone Number : 516-432-5195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 11/26/2019

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Directions to “ DAVID MING-HAI WU DDS” Practice Location

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