Provider Demographics
NPI:1073808812
Name:WEE, HILDA DE LA ROSA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:DE LA ROSA
Last Name:WEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 PASEO DEL LAGO
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6272
Mailing Address - Country:US
Mailing Address - Phone:760-646-7220
Mailing Address - Fax:
Practice Address - Street 1:1111 E TULARE AVE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-4561
Practice Address - Country:US
Practice Address - Phone:559-688-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA603781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice