Healthcare Provider Details

I. General information

NPI: 1497763635
Provider Name (Legal Business Name): XUEWEN S. CUI DDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S CLOVIS AVE STE 107
FRESNO CA
93727-4284
US

IV. Provider business mailing address

407 S CLOVIS AVE STE 107
FRESNO CA
93727-4284
US

V. Phone/Fax

Practice location:
  • Phone: 559-255-3333
  • Fax: 559-255-7271
Mailing address:
  • Phone: 559-255-3333
  • Fax: 559-255-7271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number45446
License Number StateCA

VIII. Authorized Official

Name: XUEWEN S. CUI
Title or Position: DDS
Credential: DDS
Phone: 559-255-3333