Provider Demographics
NPI:1346363843
Name:ZHANG, BAOHUA (DMD)
Entity Type:Individual
Prefix:
First Name:BAOHUA
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FORGE POND
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2985
Mailing Address - Country:US
Mailing Address - Phone:781-828-2016
Mailing Address - Fax:781-828-3787
Practice Address - Street 1:8 FORGE POND
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2985
Practice Address - Country:US
Practice Address - Phone:781-828-2016
Practice Address - Fax:781-828-3787
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2009-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice