MEDICARE: Y.M.WU DDS & C.H.LAN DDS PROF. CORP.

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
1	1223P0221X	Pediatric Dentistry	43744	CA
2	1223G0001X	General Practice Dentistry	41185	CA

General Provider Information

NPI Number	:	1841211075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y.M.WU DDS & C.H.LAN DDS PROF. CORP.

Provider Business Mailing Address
First Line	:	4988 PASEO PADRE PKWY # 204
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94555-3412
Country	:	US
Telephone Number	:	510-792-5551
Fax Number	:	510-792-5570

Provider Business Practice Location Address
First Line	:	4988 PASEO PADRE PKWY # 204
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94555-3412
Country	:	US
Telephone Number	:	510-792-5551
Fax Number	:	510-792-5570

Authorized Official
Title or Position	:	OWNER
Name	:	DR. YEMING WU
Credential	:	DDS
Telephone Number	:	510-792-5551

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	09/11/2025

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