Provider Demographics
NPI:1306954086
Name:WU, SALINA WAU NOR (DDS MMSL)
Entity type:Individual
Prefix:MS
First Name:SALINA
Middle Name:WAU NOR
Last Name:WU
Suffix:
Gender:F
Credentials:DDS MMSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 ALBEMARLE ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-684-3655
Mailing Address - Fax:914-684-0655
Practice Address - Street 1:46 FOX STREET
Practice Address - Street 2:SUITE ONE
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-473-3636
Practice Address - Fax:845-485-3787
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0526841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist