Provider Demographics
NPI:1811056294
Name:HILL, WES LEE (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:WES
Middle Name:LEE
Last Name:HILL
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:301 S FAIR OAKS AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2561
Mailing Address - Country:US
Mailing Address - Phone:626-440-0099
Mailing Address - Fax:626-440-1002
Practice Address - Street 1:301 S FAIR OAKS AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2561
Practice Address - Country:US
Practice Address - Phone:626-440-0099
Practice Address - Fax:626-440-1002
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2011-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA576341223S0112X
UT6768219-99221223S0112X
NV60251223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery