Provider Demographics
NPI:1265650097
Name:WEN, ZHIHONG (DDS)
Entity Type:Individual
Prefix:
First Name:ZHIHONG
Middle Name:
Last Name:WEN
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 1:860 HAMPSHIRE RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2803
Mailing Address - Country:US
Mailing Address - Phone:805-728-5566
Mailing Address - Fax:
Practice Address - Street 1:860 HAMPSHIRE RD
Practice Address - Street 2:SUITE M
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2803
Practice Address - Country:US
Practice Address - Phone:805-728-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice