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Individual

DR. MICHAEL QINGTIAN ZHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2700 S 1ST ST, AUSTIN, TX 78704
(512) 442-4338
Mailing address
2700 S 1ST ST, AUSTIN, TX 78704-5421
(210) 730-0446

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30938
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30938
TEXAS DENTAL LICENSE
TX
Enumeration date
06/04/2015
Last updated
08/29/2018
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