Provider Demographics
NPI:1962732099
Name:JAMES WEE, DDS, INC.
Entity type:Organization
Organization Name:JAMES WEE, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-553-0007
Mailing Address - Street 1:2100 LAKE WASHINGTON BLVD N APT S101
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-1453
Mailing Address - Country:US
Mailing Address - Phone:951-553-0007
Mailing Address - Fax:253-661-2505
Practice Address - Street 1:32114 1ST AVE S STE 100
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5760
Practice Address - Country:US
Practice Address - Phone:253-661-2503
Practice Address - Fax:253-661-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE10803261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental