Provider Demographics
NPI:1073664850
Name:ZHENG, TONG (DDS)
Entity type:Individual
Prefix:DR
First Name:TONG
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 S DE ANZA BLVD
Mailing Address - Street 2:C 103
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3556
Mailing Address - Country:US
Mailing Address - Phone:408-320-1799
Mailing Address - Fax:669-292-5392
Practice Address - Street 1:1062 S DE ANZA BLVD
Practice Address - Street 2:C 103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3556
Practice Address - Country:US
Practice Address - Phone:408-320-1799
Practice Address - Fax:669-292-5392
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47343122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist