Provider Demographics
NPI:1356523179
Name:ZHANG, FRANK (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ZHANG
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 1:2100 PEABODY RD.
Mailing Address - Street 2:DENTAL DEPT.
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95696-4000
Mailing Address - Country:US
Mailing Address - Phone:707-451-0182
Mailing Address - Fax:707-454-3485
Practice Address - Street 1:2100 PEABODY RD.
Practice Address - Street 2:DENTAL DEPT.
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95696-4000
Practice Address - Country:US
Practice Address - Phone:707-451-0182
Practice Address - Fax:707-454-3485
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA461561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice