Provider Demographics
NPI:1679359962
Name:XIXI WU BDS MS PHD PLLC
Entity Type:Organization
Organization Name:XIXI WU BDS MS PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIXI
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:BDS,MS,PHD
Authorized Official - Phone:972-669-9444
Mailing Address - Street 1:702 W ARAPAHO RD STE 108
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4154
Mailing Address - Country:US
Mailing Address - Phone:347-249-3013
Mailing Address - Fax:
Practice Address - Street 1:702 W ARAPAHO RD STE 108
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4154
Practice Address - Country:US
Practice Address - Phone:347-249-3013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty