Provider Demographics
NPI:1700936333
Name:ZHAO, HUI (DDS)
Entity Type:Individual
Prefix:
First Name:HUI
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-2823
Mailing Address - Country:US
Mailing Address - Phone:180-552-5300
Mailing Address - Fax:805-525-7468
Practice Address - Street 1:972 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-2823
Practice Address - Country:US
Practice Address - Phone:805-525-3001
Practice Address - Fax:805-525-7468
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53891122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA830461702OtherTAX ID #
CAG94159-01OtherDENTI-CAL
CAB53891-02OtherHEALTHY FAMILIES
CA53891OtherPROVIDER #