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NPI 1770271868

NPI 1770271868 : LUKE WU DDS : CUPERTINO, CA

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General NPI Number Information
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    NPI Number           |    1770271868
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    Entity Type          |    Individual 
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    Provider Name        |    LUKE WU DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/26/2023
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    10440 S DE ANZA BLVD STE D4 
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    City                 |    CUPERTINO
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    State                |    CA
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    Zip                  |    95014-3018
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    Country              |    US
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    Telephone            |    408-873-8321
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10440 S DE ANZA BLVD STE D4 
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    City                 |    CUPERTINO
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    State                |    CA
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    Zip                  |    95014-3018
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    Country              |    US
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    Telephone            |    408-725-1032
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    107656
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    107656
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    License Number State |    CA
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