Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 35041 | CA |
NPI | 1174659072 |
---|---|
Provider Name | Dr. Yn-Low Henry Wu |
First Address | Oakland, CA 94609-3105 |
Second Address | Oakland, CA 94609-3105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |