Provider Demographics
NPI:1750488615
Name:ZHANG, STEPHANIE (DDS)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 DARRELL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-5828
Mailing Address - Country:US
Mailing Address - Phone:650-574-2200
Mailing Address - Fax:650-574-2204
Practice Address - Street 1:3455 PACIFIC BLVD, STE 2
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2140
Practice Address - Country:US
Practice Address - Phone:650-574-2200
Practice Address - Fax:650-574-2204
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47026122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist