Provider Demographics
NPI:1043359904
Name:HUANG GAO, MINDY MIN ZHONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:MINDY
Middle Name:MIN ZHONG
Last Name:HUANG GAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MIN ZHONG
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:119 MONROE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306
Mailing Address - Country:US
Mailing Address - Phone:650-722-3071
Mailing Address - Fax:
Practice Address - Street 1:530 SHOWERS DRIVE
Practice Address - Street 2:SUITE #3
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:650-917-8348
Practice Address - Fax:650-917-8349
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist