Provider Demographics
NPI:1609007335
Name:ZHAO, NINGXIA (DMD)
Entity type:Individual
Prefix:DR
First Name:NINGXIA
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18020 ANTOINE FAUCON
Mailing Address - Street 2:
Mailing Address - City:PIERREFONDS
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H9K 1L2
Mailing Address - Country:CA
Mailing Address - Phone:514-626-8372
Mailing Address - Fax:
Practice Address - Street 1:5675 N FRONT ST
Practice Address - Street 2:SUITE 50
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120
Practice Address - Country:US
Practice Address - Phone:312-274-0308
Practice Address - Fax:312-944-9499
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038025122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist