Provider Demographics
NPI:1982726113
Name:PATRICK Y. WEI DDS A DENTAL CORPORATION
Entity Type:Organization
Organization Name:PATRICK Y. WEI DDS A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:YU-HSIU
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-510-1133
Mailing Address - Street 1:41278 MARGARITA RD
Mailing Address - Street 2:#202
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5579
Mailing Address - Country:US
Mailing Address - Phone:951-693-2239
Mailing Address - Fax:
Practice Address - Street 1:41278 MARGARITA RD
Practice Address - Street 2:#202
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5579
Practice Address - Country:US
Practice Address - Phone:951-693-2239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA413241223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty