Provider Demographics
NPI:1265630354
Name:XIANG, XILIN
Entity Type:Individual
Prefix:
First Name:XILIN
Middle Name:
Last Name:XIANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E REMINGTON DR STE 12
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2611
Mailing Address - Country:US
Mailing Address - Phone:408-644-5268
Mailing Address - Fax:408-720-1968
Practice Address - Street 1:500 E REMINGTON DR STE 12
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2611
Practice Address - Country:US
Practice Address - Phone:408-644-5268
Practice Address - Fax:408-720-1968
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA558701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice