Provider Demographics
NPI:1548408008
Name:MENG, DAVID C (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:MENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 KIFER RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5325
Mailing Address - Country:US
Mailing Address - Phone:408-736-8880
Mailing Address - Fax:408-736-8882
Practice Address - Street 1:1286 KIFER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5325
Practice Address - Country:US
Practice Address - Phone:408-736-8880
Practice Address - Fax:408-736-8882
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52895122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist