Individual
XUE ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
742 NE DIVISION ST STE 201, GRESHAM, OR 97030-3979
(503) 912-6255
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11545
OR
Other
Enumeration date
08/06/2016
Last updated
11/09/2021
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