Basic Information
Provider Information
NPI: 1396879524
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: DING HONG
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 440 AIRPORT BLVD.
Address2:  
City: SALINAS
State: CA
PostalCode: 93905
CountryCode: US
TelephoneNumber: 8317578689
FaxNumber: 8317573721
Practice Location
Address1: 808 OAK STREET
Address2:  
City: GREENFIELD
State: CA
PostalCode: 93927
CountryCode: US
TelephoneNumber: 8316745344
FaxNumber: 8316745214
Other Information
ProviderEnumerationDate: 03/16/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X54977CAY Dental ProvidersDentist 

No ID Information.


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