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NPI Code Detail

MEDICARE: DR TONG ZHENG DDS INC

MEDICARE: DR TONG ZHENG DDS INC
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
1302F00000XExclusive Provider Organization47343CA

General Provider Information

NPI Number : 1689128803
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR TONG ZHENG DDS INC
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 : PRESIDENT
Name : TONG ZHENG
Credential :
Telephone Number : 408-324-4991
Provider Enumeration Date : 08/04/2016
Last Update Date : 08/04/2016

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Directions to “DR TONG ZHENG DDS INC ” Practice Location

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