Provider Demographics
NPI:1366457798
Name:TU, WEI MIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WEI MIN
Middle Name:
Last Name:TU
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 1:3975 JACKSON ST.
Mailing Address - Street 2:STE 306
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503
Mailing Address - Country:US
Mailing Address - Phone:951-343-1211
Mailing Address - Fax:951-343-1481
Practice Address - Street 1:3975 JACKSON ST STE 306
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3951
Practice Address - Country:US
Practice Address - Phone:951-343-1211
Practice Address - Fax:951-343-1481
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39493122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist