Provider Demographics
NPI:1932307279
Name:HUANG, ZHAOMIN (DMD)
Entity Type:Individual
Prefix:
First Name:ZHAOMIN
Middle Name:
Last Name:HUANG
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 1:6698 AMADOR PLAZA RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2941
Mailing Address - Country:US
Mailing Address - Phone:630-724-7587
Mailing Address - Fax:188-844-5852
Practice Address - Street 1:6698 AMADOR PLAZA RD
Practice Address - Street 2:SUITE A
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2941
Practice Address - Country:US
Practice Address - Phone:630-724-7587
Practice Address - Fax:188-844-5852
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190274421223G0001X
CA601921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice