Provider Demographics
NPI:1265541478
Name:HU, WEI-CHIANG (DDS)
Entity type:Individual
Prefix:
First Name:WEI-CHIANG
Middle Name:
Last Name:HU
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 1:9752 SAND HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757
Mailing Address - Country:US
Mailing Address - Phone:916-995-7429
Mailing Address - Fax:916-448-2801
Practice Address - Street 1:40 S CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-3004
Practice Address - Country:US
Practice Address - Phone:209-941-0814
Practice Address - Fax:209-941-0815
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist