| Zhao Dds. Dental Corporation | |
|
430 W Holt Ave #e Pomona CA 91768-3612 | |
| (909) 623-4435 | |
| (909) 623-4470 |
| Full Name | Zhao Dds. Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 430 W Holt Ave, Pomona, California |
| Authorized Official Name and Position | Jing Chen (DENTIST) |
| Authorized Official Contact | 9096234435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zhao Dds. Dental Corporation 26320 Via Rancho Dr Diamond Bar CA 91765-2154 Ph: (909) 623-4435 | Zhao Dds. Dental Corporation 430 W Holt Ave #e Pomona CA 91768-3612 Ph: (909) 623-4435 |
| NPI Number | 1043244056 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 3274933148 |
|---|---|
| Medicare Enrollment ID | O20210615000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043244056 | NPI | - | NPPES |
| G9410501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49289 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 52137 (California) | Secondary |
| Provider Name | Zhiwei Zhao |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194943704 PECOS PAC ID: 0941600589 Enrollment ID: I20210622002830 |
Larissa Gushansky, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 887 E 2nd St, Suite B, Pomona, CA 91766 Phone: 909-865-8595 | |
Pravinchandra Makadia Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 E Mission Blvd, Pomona, CA 91766 Phone: 909-622-1817 Fax: 909-622-8750 | |
Miro Itskovich, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 847 Philadelphia St., Pomona, CA 91766 Phone: 909-927-4177 | |
Dr. Mehta's Grove Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3167 N. Garey Ave, Pomona, CA 91767 Phone: 909-596-7700 Fax: 909-392-4697 | |
Jeffrey B. Thomas, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 E Artesia St, Suite 125, Pomona, CA 91767 Phone: 909-622-1261 | |
Larissa Gushansky, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 887 E 2nd St Ste D, Pomona, CA 91766 Phone: 909-865-8595 | |
Pravinchandra Makadia Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 E Mission Blvd, Pomona, CA 91766 Phone: 909-996-6924 Fax: 909-622-8750 |