Provider Demographics
NPI:1558146464
Name:ZHANG & ZHU DDS PHD DENTAL INC
Entity Type:Organization
Organization Name:ZHANG & ZHU DDS PHD DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:XUGUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-923-6168
Mailing Address - Street 1:2376 RIDGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4862
Mailing Address - Country:US
Mailing Address - Phone:310-923-6168
Mailing Address - Fax:
Practice Address - Street 1:1818 SIERRA LEONE AVE STE C
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3694
Practice Address - Country:US
Practice Address - Phone:626-581-9152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental