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Tiffany Wu
Pediatric Dentist in Los Angeles, California
NPI 1982010427

Tiffany Wu is a Pediatric Dentist based in San Gabriel, CA and is specialized in Pediatric Dentistry. Tiffany Wu practices in Los Angeles, CA. The NPI Number for Tiffany Wu is 1982010427 and holds a License No. (California).

The current practice location address for Tiffany Wu is 5262 E Beverly Blvd, Los Angeles, CA and can be reached out via phone at 323-887-0088.

Location: 5262 E Beverly Blvd, Los Angeles, CA, 91776-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982010427
Provider Name
Tiffany Wu
Credential
Provider Entity Type
Individual
Gender
Female
Address
5262 E Beverly Blvd, Los Angeles, CA, 91776-2002
Phone Number
323-887-0088
Fax Number
Provider Enumeration Date
07/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5262 E Beverly Blvd
City
Los Angeles
State
California
Zip
90022-2002
Phone Number
323-887-0088
Fax Number
person
Provider Business Mailing Address Details
Address
5262 E Beverly Blvd
City
Los Angeles
State
California
Zip
90022-2002
Phone Number
323-887-0088
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
64331 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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