Provider Demographics
NPI:1912343831
Name:DONG SHEN DDS INC
Entity type:Organization
Organization Name:DONG SHEN DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-938-1868
Mailing Address - Street 1:105 SOUTH DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4311
Mailing Address - Country:US
Mailing Address - Phone:650-938-1868
Mailing Address - Fax:650-938-1968
Practice Address - Street 1:105 SOUTH DR
Practice Address - Street 2:SUITE 140
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4311
Practice Address - Country:US
Practice Address - Phone:650-938-1868
Practice Address - Fax:650-938-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-18
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty