Organization
ZEN DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP LAWRENCE CHING MBA (SPECIALTY/INSURANCE DIRECTOR)
(408) 607-3276
Entity
Organization
Contact information
Practice address
1591 FARMERS LN, SANTA ROSA, CA 95405-7525
(707) 300-6444
Mailing address
1591 FARMERS LN, SANTA ROSA, CA 95405-7525
(707) 595-3615
(707) 595-3618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417023979
DENTAL
CA
Enumeration date
01/22/2020
Last updated
01/22/2020
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