Provider Demographics
NPI:1215939129
Name:WEI, DAVIE D (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVIE
Middle Name:D
Last Name:WEI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2041 POLK ST
Mailing Address - Street 2:#F
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-2525
Mailing Address - Country:US
Mailing Address - Phone:415-776-9567
Mailing Address - Fax:415-776-9638
Practice Address - Street 1:2041 POLK ST
Practice Address - Street 2:#F
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2525
Practice Address - Country:US
Practice Address - Phone:415-776-9567
Practice Address - Fax:415-776-9638
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA356591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice