Provider Demographics
NPI:1548241417
Name:ZICHANG PAN DDS & SHUYUN ZENG DDS INC
Entity Type:Organization
Organization Name:ZICHANG PAN DDS & SHUYUN ZENG DDS INC
Other - Org Name:ZP DENTAL OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHUYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-818-0182
Mailing Address - Street 1:39560 STEVENSON PL
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-3074
Mailing Address - Country:US
Mailing Address - Phone:510-818-0182
Mailing Address - Fax:510-818-0313
Practice Address - Street 1:39560 STEVENSON PL
Practice Address - Street 2:SUITE 220
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-3074
Practice Address - Country:US
Practice Address - Phone:510-818-0182
Practice Address - Fax:510-818-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46717122300000X
CA46417122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty