Provider Demographics
NPI:1356116727
Name:ZEALOUS DENTAL HAMILTON LLC
Entity type:Organization
Organization Name:ZEALOUS DENTAL HAMILTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUCHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-285-4691
Mailing Address - Street 1:1499 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-1075
Mailing Address - Country:US
Mailing Address - Phone:513-285-4691
Mailing Address - Fax:
Practice Address - Street 1:1499 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1075
Practice Address - Country:US
Practice Address - Phone:513-285-4691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental