Provider Demographics
NPI:1033497805
Name:WANG, CHIN-WEI (DDS, DMSC)
Entity Type:Individual
Prefix:DR
First Name:CHIN-WEI
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:DDS, DMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 N UNIVERSITY AVE
Mailing Address - Street 2:RM 3323B
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-1078
Mailing Address - Country:US
Mailing Address - Phone:734-647-6175
Mailing Address - Fax:734-763-5503
Practice Address - Street 1:1011 N UNIVERSITY AVE
Practice Address - Street 2:RM 3323B
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1078
Practice Address - Country:US
Practice Address - Phone:734-647-6175
Practice Address - Fax:734-763-5503
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021708122300000X
MADL11350122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist