Provider Demographics
NPI:1992386072
Name:XIE, DDS, CORP
Entity Type:Organization
Organization Name:XIE, DDS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:XIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-244-8550
Mailing Address - Street 1:1994 TABOADA LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8614
Mailing Address - Country:US
Mailing Address - Phone:510-244-8550
Mailing Address - Fax:
Practice Address - Street 1:6400 VILLAGE PKWY STE 204
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3006
Practice Address - Country:US
Practice Address - Phone:510-244-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental