Kenneth Y Wu

NPI #1528232709 in Burbank, Illinois

Provider Information

NPI Number: 1528232709
Entity Type: Organization
Organization Name: Kenneth Y Wu
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 17, 2008
Last Updated: Apr 17, 2008

Practice Location

Address: 5624 W 79TH ST STE 5
City: Burbank
State: Illinois
ZIP Code: 60459-1391
Phone: (708) 423-5191

Authorized Official

Name: DR. KENNETH Y WU
Title: DENTIST
Phone: (708) 423-5191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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