Provider Demographics
NPI:1316111834
Name:WEE, LARRY EING (DMD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:EING
Last Name:WEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-5573
Mailing Address - Country:US
Mailing Address - Phone:989-777-4570
Mailing Address - Fax:989-777-7724
Practice Address - Street 1:5303 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-5573
Practice Address - Country:US
Practice Address - Phone:989-777-4570
Practice Address - Fax:989-777-7724
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI119981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice