MEDICARE: DR. TONG ZHENG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	47343	CA

General Provider Information

NPI Number	:	1073664850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONG ZHENG D.D.S.

Provider Business Mailing Address
First Line	:	1062 S DE ANZA BLVD
Second Line	:	C 103
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3556
Country	:	US
Telephone Number	:	408-320-1799
Fax Number	:	669-292-5392

Provider Business Practice Location Address
First Line	:	1062 S DE ANZA BLVD
Second Line	:	C 103
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3556
Country	:	US
Telephone Number	:	408-320-1799
Fax Number	:	669-292-5392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	11/09/2016

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