Provider Demographics
NPI:1558659276
Name:ZHANG, TAO TAO (DDS)
Entity type:Individual
Prefix:DR
First Name:TAO TAO
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 FLYING MIST ISLE
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1401
Mailing Address - Country:US
Mailing Address - Phone:650-238-7932
Mailing Address - Fax:
Practice Address - Street 1:1927 S. EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1321
Practice Address - Country:US
Practice Address - Phone:650-952-2689
Practice Address - Fax:650-577-1967
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA510091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice