| Organization Name: | CHU ZHANG DDS PROF DENTAL CORP |
| NPI Number: | 1023389913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHU ZHANG (DENTIST/OWNER) |
| Mailing Address: | 12065 Orange St Norwalk |
| State: | CA US |
| Postal Code: | 906504130 |
| Phone Number: | 5628631234 |
| Fax Number: | 5628637852 |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 54545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |