Provider Demographics
NPI:1689128803
Name:DR TONG ZHENG DDS INC
Entity Type:Organization
Organization Name:DR TONG ZHENG DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-324-4991
Mailing Address - Street 1:1062 S DE ANZA BLVD
Mailing Address - Street 2:C-103
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3556
Mailing Address - Country:US
Mailing Address - Phone:408-320-1799
Mailing Address - Fax:669-292-5392
Practice Address - Street 1:1062 S DE ANZA BLVD
Practice Address - Street 2:C-103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3556
Practice Address - Country:US
Practice Address - Phone:408-320-1799
Practice Address - Fax:669-292-5392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47343302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization