Zhiwei Zhao, DDS | |
430 W Holt Ave Ste E, Pomona, CA 91768-3612 | |
(909) 623-4435 | |
Not Available |
Full Name | Zhiwei Zhao |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 430 W Holt Ave Ste E, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194943704 | NPI | - | NPPES |
D52137 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 52137 (California) | Primary |
1223G0001X | Dentist - General Practice | 52137 (California) | Secondary |
Entity Name | Zhao Dds Dental Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043244056 PECOS PAC ID: 3274933148 Enrollment ID: O20210615000168 |
Mailing Address | Practice Location Address |
---|---|
Zhiwei Zhao, DDS 23620 Via Rancho Dr, Diamond Bar, CA 91765-2154 Ph: (909) 860-2445 | Zhiwei Zhao, DDS 430 W Holt Ave Ste E, Pomona, CA 91768-3612 Ph: (909) 623-4435 |
Dr. Jing Chen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 W Holt Ave Ste E, Pomona, CA 91768 Phone: 909-623-4435 | |
Dr. Abrahim Abdul Mustafa, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2280 S Garey Ave, Pomona, CA 91766 Phone: 909-364-0633 Fax: 909-364-0636 | |
Dr. Mark Douglas Mintline, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 795 E. Second St., Suite 8, Pomona, CA 91766 Phone: 909-706-3910 Fax: 909-469-8650 | |
Mrs. Ha Nhi Tran, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 667 N Indian Hill Blvd, Pomona, CA 91767 Phone: 909-620-6664 | |
Dr. Gregory Paul Stone, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221 | |
Wael Sameer Victor, Dentist Medicare: Not Enrolled in Medicare Practice Location: 763 Rio Rancho Rd Ste 120, Pomona, CA 91766 Phone: 909-242-7989 | |
Dr. Robert Dee Stevenson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 795 E 2nd St, Suite 8, Pomona, CA 91766 Phone: 909-706-3836 |