Provider Demographics
NPI:1932428778
Name:ZHIHONG WEN DDS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ZHIHONG WEN DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHIHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:WEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-728-5566
Mailing Address - Street 1:860 HAMPSHIRE RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2803
Mailing Address - Country:US
Mailing Address - Phone:805-728-5566
Mailing Address - Fax:
Practice Address - Street 1:860 HAMPSHIRE RD
Practice Address - Street 2:SUITE M
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2803
Practice Address - Country:US
Practice Address - Phone:805-728-5566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty