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ZHAO DDS. DENTAL CORPORATION NPI 1043244056


NPI Information

NPI: 1043244056
Provider Name: ZHAO DDS. DENTAL CORPORATION

Former Legal Business Name: C & Z DENTAL GROUP INC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
430 W HOLT AVE
#E
POMONA, CA
ZIP 91768
Phone: (909) 623-4435
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ZHAO DDS. DENTAL CORPORATION is a general practice dentist in Pomona, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ZHAO DDS. DENTAL CORPORATION NPI is 1043244056. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is C & Z Dental Group Inc.

The provider's business location address is:

430 W HOLT AVE
#E
POMONA, CA
ZIP 91768-612
Phone: (909) 623-4435
Fax: (909) 623-4470

The provider's authorized official is Jing Chen .
The authorized official title is Dentist and has the following contact phone number (909) 623-4435.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice52137CALIFORNIANo
21223G0001XDentistGeneral Practice49289CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9410501MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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