Wu, Di

Wu, Di is an individual health care provider with primary practice located at 6655 Travis St #460, Pediatric Dentistry, Houston TX 77030-1312. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Wu, Di can be contacted via phone (734) 945-0451.

Contact Information

Primary practice address
6655 Travis St #460, Pediatric Dentistry Houston TX 77030-1312
Phone: (734) 945-0451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2901020851 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2901020851 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X 30384 Texas

Profile Details

NPI number 1063757623
LBN Legal business name Wu, Di
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2012
Last updated Jan 10th, 2017 - about 9 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 1063757623 NPPES
Texas MEDICAID 3390767-01

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