Provider Demographics
NPI:1992421812
Name:GENTLE DENTAL DR PETER WU LTD
Entity type:Organization
Organization Name:GENTLE DENTAL DR PETER WU LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KUO-KUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:216-543-3591
Mailing Address - Street 1:7629 LINDSAY LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5579
Mailing Address - Country:US
Mailing Address - Phone:216-543-3591
Mailing Address - Fax:
Practice Address - Street 1:8180 BRECKSVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1353
Practice Address - Country:US
Practice Address - Phone:440-526-8151
Practice Address - Fax:440-792-4786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty