Provider Demographics
NPI:1750253811
Name:DOU, WEI
Entity type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:DOU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 RED OAK DR E APT M
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6616
Mailing Address - Country:US
Mailing Address - Phone:408-313-4818
Mailing Address - Fax:
Practice Address - Street 1:233 RED OAK DR E APT M
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6616
Practice Address - Country:US
Practice Address - Phone:408-313-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist