Provider Demographics
NPI:1164772554
Name:ZHANG, WENLANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:WENLANG
Middle Name:
Last Name:ZHANG
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 1:1680 CHAMBERS ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3655
Mailing Address - Country:US
Mailing Address - Phone:541-345-2042
Mailing Address - Fax:541-345-0412
Practice Address - Street 1:1680 CHAMBERS ST
Practice Address - Street 2:SUITE 204
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3655
Practice Address - Country:US
Practice Address - Phone:541-345-2042
Practice Address - Fax:541-345-0412
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD97861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice