Provider Demographics
NPI:1467955005
Name:ANN WEI DDS PROF CORP
Entity Type:Organization
Organization Name:ANN WEI DDS PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:YU-CHIEH
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-518-4992
Mailing Address - Street 1:450 SUTTER STREET
Mailing Address - Street 2:SUITE 2425
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108
Mailing Address - Country:US
Mailing Address - Phone:415-518-4992
Mailing Address - Fax:888-395-9487
Practice Address - Street 1:450 SUTTER STREET
Practice Address - Street 2:SUITE 2425
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108
Practice Address - Country:US
Practice Address - Phone:415-518-4992
Practice Address - Fax:888-395-9487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54319122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty