Provider Demographics
NPI:1437173317
Name:CUI, XUEWEN S (DDS)
Entity Type:Individual
Prefix:
First Name:XUEWEN
Middle Name:S
Last Name:CUI
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 1:132 W GOSHEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-7197
Mailing Address - Country:US
Mailing Address - Phone:559-325-9575
Mailing Address - Fax:558-255-7271
Practice Address - Street 1:407 S CLOVIS AVE STE 107
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-4284
Practice Address - Country:US
Practice Address - Phone:559-255-3333
Practice Address - Fax:559-255-7271
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45446122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist