Provider Demographics
NPI:1154926020
Name:BLISS ZIN DENTISTRY, PC
Entity type:Organization
Organization Name:BLISS ZIN DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLISS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-354-1903
Mailing Address - Street 1:216 BACHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-7220
Mailing Address - Country:US
Mailing Address - Phone:408-354-1903
Mailing Address - Fax:
Practice Address - Street 1:216 BACHMAN AVE
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-7220
Practice Address - Country:US
Practice Address - Phone:408-354-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty