Provider Demographics
NPI:1114049996
Name:XIAO, STANLEY YUAN-ZHENG (DDS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:YUAN-ZHENG
Last Name:XIAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:YUAN-ZHENG
Other - Middle Name:
Other - Last Name:XIAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:402 8TH AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3057
Mailing Address - Country:US
Mailing Address - Phone:415-387-0614
Mailing Address - Fax:415-387-0615
Practice Address - Street 1:402 8TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3057
Practice Address - Country:US
Practice Address - Phone:415-387-0614
Practice Address - Fax:415-387-0615
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530451223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice