Provider Demographics
NPI:1093052599
Name:MURAKAMI, WESLEY K (DDS)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:K
Last Name:MURAKAMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38155 MARTHA AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3800
Mailing Address - Country:US
Mailing Address - Phone:510-796-1263
Mailing Address - Fax:510-796-9524
Practice Address - Street 1:38155 MARTHA AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3800
Practice Address - Country:US
Practice Address - Phone:510-796-1263
Practice Address - Fax:510-796-9524
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23220122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist