Provider Demographics
NPI:1093248700
Name:ZHANG DENTAL CORPORATION
Entity Type:Organization
Organization Name:ZHANG DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:JINYING
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-737-0888
Mailing Address - Street 1:1298 KIFER RD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5319
Mailing Address - Country:US
Mailing Address - Phone:408-737-0888
Mailing Address - Fax:408-737-0887
Practice Address - Street 1:1298 KIFER RD
Practice Address - Street 2:SUITE 510
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5319
Practice Address - Country:US
Practice Address - Phone:408-737-0888
Practice Address - Fax:408-737-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49714122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty