Provider Demographics
NPI:1912254988
Name:WU, JING YING CELIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JING YING
Middle Name:CELIA
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 1:7982 AMADOR VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2308
Mailing Address - Country:US
Mailing Address - Phone:925-364-4857
Mailing Address - Fax:925-361-5447
Practice Address - Street 1:7982 AMADOR VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2308
Practice Address - Country:US
Practice Address - Phone:925-364-4857
Practice Address - Fax:925-361-5447
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA616911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice