Provider Demographics
NPI:1497836597
Name:GUO, WEI (DMD)
Entity Type:Individual
Prefix:DR
First Name:WEI
Middle Name:
Last Name:GUO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33801 1ST WAY S STE 311
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4548
Mailing Address - Country:US
Mailing Address - Phone:253-838-3223
Mailing Address - Fax:253-838-3220
Practice Address - Street 1:33801 1ST WAY S STE 311
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4548
Practice Address - Country:US
Practice Address - Phone:253-838-3223
Practice Address - Fax:253-838-3220
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601378551223S0112X
OH300222581223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery