Provider Demographics
NPI:1730561838
Name:MU, MAY-CHU PATRICIA (DMD)
Entity type:Individual
Prefix:DR
First Name:MAY-CHU
Middle Name:PATRICIA
Last Name:MU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16510 CLEVELAND ST STE Q
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4439
Mailing Address - Country:US
Mailing Address - Phone:425-882-1112
Mailing Address - Fax:
Practice Address - Street 1:16510 CLEVELAND ST STE Q
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4439
Practice Address - Country:US
Practice Address - Phone:425-882-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 00006431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist