Provider Demographics
NPI:1508437716
Name:YING ZHAO DDS PA
Entity Type:Organization
Organization Name:YING ZHAO DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-607-3760
Mailing Address - Street 1:1417 STRATFORD RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9014
Mailing Address - Country:US
Mailing Address - Phone:919-607-3760
Mailing Address - Fax:
Practice Address - Street 1:1417 STRATFORD RIDGE LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-9014
Practice Address - Country:US
Practice Address - Phone:919-607-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty