Provider Demographics
NPI:1871711937
Name:OU, SU HWEI (DDS)
Entity type:Individual
Prefix:DR
First Name:SU HWEI
Middle Name:
Last Name:OU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5480 PHILADELPHIA ST
Mailing Address - Street 2:STE D
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2486
Mailing Address - Country:US
Mailing Address - Phone:909-464-2399
Mailing Address - Fax:909-464-2398
Practice Address - Street 1:5480 PHILADELPHIA ST
Practice Address - Street 2:STE D
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2486
Practice Address - Country:US
Practice Address - Phone:909-464-2399
Practice Address - Fax:909-464-2398
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37890122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA37890Medicaid