Provider Demographics
NPI:1659065894
Name:ZHAO-BISCOCHO, JUDY M (DMD)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:M
Last Name:ZHAO-BISCOCHO
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 1:1061 W LONGHORN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6344
Mailing Address - Country:US
Mailing Address - Phone:404-953-0048
Mailing Address - Fax:
Practice Address - Street 1:44555 W EDISON RD STE A
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-6412
Practice Address - Country:US
Practice Address - Phone:520-759-3120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011792122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist