Provider Demographics
NPI:1841346343
Name:WU, JENNIFER TSAI PIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:TSAI PIN
Last Name:WU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N ROYAL ASCOT DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4306
Mailing Address - Country:US
Mailing Address - Phone:702-480-9361
Mailing Address - Fax:702-363-1172
Practice Address - Street 1:7520 W WASHINGTON AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-4330
Practice Address - Country:US
Practice Address - Phone:702-363-1590
Practice Address - Fax:702-363-1172
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist