Provider Demographics
NPI:1124333612
Name:ZHAO, JING (DDS)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2270 KIMBALL ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5139
Mailing Address - Country:US
Mailing Address - Phone:718-253-0888
Mailing Address - Fax:718-228-2887
Practice Address - Street 1:2270 KIMBALL ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5139
Practice Address - Country:US
Practice Address - Phone:718-253-0888
Practice Address - Fax:718-228-2887
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2013-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0557241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry