Lin, Ko Yu Wu

Lin, Ko Yu Wu is an individual health care provider with primary practice located at 3302 Gaston Ave Room 203, Dallas TX 75246-2013. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lin, Ko Yu Wu can be contacted via phone (214) 828-8133.

Contact Information

Primary practice address
3302 Gaston Ave Room 203 Dallas TX 75246-2013
Phone: (214) 828-8133
Fax: (214) 874-4508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 18821 Texas

Profile Details

NPI number 1528119138
LBN Legal business name Lin, Ko Yu Wu
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528119138 NPPES
Texas MEDICAID 11117503
Texas MEDICAID 111177502
Texas Other 18821

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