Individual provider · Type 1 NPI

Vivien Wai Tung Ku, DDS

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1780117325 Active

Practice location

201 Lyons Ave, Newark Beth Israel Medical Center, Department Of Dentistry
Newark, NJ 07112

Call (973) 926-7642 Map

Fax (973) 926-5306

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780117325

Vivien Wai Tung Ku, DDS's National Provider Identifier is 1780117325, issued on Apr 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 30, 2017.