Healthcare Provider Details

I. General information

NPI: 1295452290
Provider Name (Legal Business Name): HONG ZHAO DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 10/29/2022
Certification Date: 10/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7052 DUBLIN BLVD
DUBLIN CA
94568-3017
US

IV. Provider business mailing address

7052 DUBLIN BLVD
DUBLIN CA
94568-3017
US

V. Phone/Fax

Practice location:
  • Phone: 925-556-9994
  • Fax:
Mailing address:
  • Phone: 925-556-9994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: HONG ZHAO
Title or Position: CEO
Credential:
Phone: 255-569-9949