Provider Demographics
NPI:1043379100
Name:WU, FRANK C
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:WU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3832
Mailing Address - Country:US
Mailing Address - Phone:626-447-1568
Mailing Address - Fax:626-447-1515
Practice Address - Street 1:515 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3832
Practice Address - Country:US
Practice Address - Phone:626-447-1568
Practice Address - Fax:626-447-1515
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA375201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice