Provider Demographics
NPI:1528238532
Name:HU, ZHAOLIANG (DDS, PHD)
Entity type:Individual
Prefix:
First Name:ZHAOLIANG
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 OLD CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3955
Mailing Address - Country:US
Mailing Address - Phone:703-663-8136
Mailing Address - Fax:703-663-8609
Practice Address - Street 1:1340 OLD CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 401
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3955
Practice Address - Country:US
Practice Address - Phone:703-663-8136
Practice Address - Fax:703-663-8609
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2015-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist