Individual provider · Type 1 NPI

Xue Zhao

Pediatric Dentistry · Gresham, OR

NPI number 1992259048 Active

Practice location

742 NE Division St Ste 201
Gresham, OR 97030-3979

Mailing address

1 Brookdale Plz
Brooklyn, NY 11212-3139

Other practice locations

  • 37515 Highway 26, Sandy, OR 97055-9301 · (503) 912-6255

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD11545 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1992259048

Xue Zhao's National Provider Identifier is 1992259048, issued on Aug 6, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gresham, OR. The record was last updated on Nov 9, 2021.