Provider Demographics
NPI:1073096905
Name:TENG, XIAOFEI (DDS)
Entity Type:Individual
Prefix:
First Name:XIAOFEI
Middle Name:
Last Name:TENG
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 1:14374 BOREGO RD APT 405
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-6911
Mailing Address - Country:US
Mailing Address - Phone:214-616-8205
Mailing Address - Fax:
Practice Address - Street 1:12218 APPLE VALLEY RD STE 110
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-1704
Practice Address - Country:US
Practice Address - Phone:760-300-3678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345301223G0001X
CADDS1028031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice