Lin, Ko Yu Wu
Lin, Ko Yu Wu is an individual health care provider with primary practice located at 3302 Gaston Ave Room 203, Dallas TX 75246-2013. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lin, Ko Yu Wu can be contacted via phone (214) 828-8133.Contact Information
Primary practice address
3302 Gaston Ave Room 203
Dallas TX 75246-2013
Phone: (214) 828-8133
Fax: (214) 874-4508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 18821 | Texas |
Profile Details
| NPI number | 1528119138 |
|---|---|
| LBN Legal business name | Lin, Ko Yu Wu |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528119138 | NPPES |
| Texas | MEDICAID | 11117503 | |
| Texas | MEDICAID | 111177502 | |
| Texas | Other | 18821 |
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