Jimmy Wu, Dds, Professional Dental Corporation

NPI #1215205968 in Coronado, California

Provider Information

NPI Number: 1215205968
Entity Type: Organization
Organization Name: Jimmy Wu, Dds, Professional Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 1301 YNEZ PL
City: Coronado
State: California
ZIP Code: 92118-2925
Phone: (619) 435-6227

Authorized Official

Name: DR. JIMMY WU, DDS
Title: CEO/DENTIST
Phone: (619) 992-5774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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