Provider Demographics
NPI:1821233768
Name:CHUANG, WILLIAM WEI-LUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WEI-LUN
Last Name:CHUANG
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 1:1482 TRIUMPH CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-4650
Mailing Address - Country:US
Mailing Address - Phone:408-253-5189
Mailing Address - Fax:
Practice Address - Street 1:1482 TRIUMPH CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-4650
Practice Address - Country:US
Practice Address - Phone:408-253-5189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054098122300000X
CA577561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist