Provider Demographics
NPI:1841428505
Name:WU, PEI HENG (DMD)
Entity Type:Individual
Prefix:DR
First Name:PEI HENG
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1341
Mailing Address - Country:US
Mailing Address - Phone:973-827-8804
Mailing Address - Fax:
Practice Address - Street 1:106 QUARRY RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-1341
Practice Address - Country:US
Practice Address - Phone:973-827-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02414500122300000X
PADS037950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist