Provider Demographics
NPI:1134216591
Name:ZENG, LAWRENCE QL (DDS)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:QL
Last Name:ZENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8650 SPICEWOOD SPRINGS RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4322
Mailing Address - Country:US
Mailing Address - Phone:512-250-9603
Mailing Address - Fax:
Practice Address - Street 1:13376 RESEARCH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-3237
Practice Address - Country:US
Practice Address - Phone:512-335-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48071122300000X
TX24796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist