Provider Demographics
NPI:1215004502
Name:ZHANG, XUGUANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:XUGUANG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 RIDGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4862
Mailing Address - Country:US
Mailing Address - Phone:909-627-1266
Mailing Address - Fax:909-627-3228
Practice Address - Street 1:1818 SIERRA LEONE AVE STE C
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3694
Practice Address - Country:US
Practice Address - Phone:626-581-9152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice