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NPI Code Detail

MEDICARE: DR. WAYNE T. KU DDS

MEDICARE:  DR. WAYNE T. KU  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
1122300000XDentist13766TX

General Provider Information

NPI Number : 1871656439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAYNE T. KU DDS
Provider Business Mailing Address
First Line : 6101 CHAPEL HILL BLVD STE 203
Second Line :
City : PLANO
State : TX
Zip : 75093-8448
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6101 CHAPEL HILL BLVD STE 203
Second Line :
City : PLANO
State : TX
Zip : 75093-8448
Country : US
Telephone Number : 972-644-4881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WAYNE T. KU DDS” Practice Location

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