Provider Demographics
NPI:1013035021
Name:STANLEY ZWEIG CHEN A DENTAL CORP
Entity Type:Organization
Organization Name:STANLEY ZWEIG CHEN A DENTAL CORP
Other - Org Name:CONEJO DENTAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-498-6631
Mailing Address - Street 1:2904 THERESA DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320
Mailing Address - Country:US
Mailing Address - Phone:805-498-6631
Mailing Address - Fax:805-498-6508
Practice Address - Street 1:2904 THERESA DR
Practice Address - Street 2:# 1
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320
Practice Address - Country:US
Practice Address - Phone:805-498-6631
Practice Address - Fax:805-498-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty