Healthcare Provider Details

I. General information

NPI: 1982726113
Provider Name (Legal Business Name): PATRICK Y. WEI DDS A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41278 MARGARITA RD #202
TEMECULA CA
92591-5579
US

IV. Provider business mailing address

41278 MARGARITA RD #202
TEMECULA CA
92591-5579
US

V. Phone/Fax

Practice location:
  • Phone: 951-693-2239
  • Fax:
Mailing address:
  • Phone: 951-693-2239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number41324
License Number StateCA

VIII. Authorized Official

Name: DR. PATRICK YU-HSIU WEI
Title or Position: PRESIDENT
Credential: DDS
Phone: 760-510-1133