Provider Demographics
NPI:1801819065
Name:WEN, ZHUANG I (DDS)
Entity type:Individual
Prefix:MR
First Name:ZHUANG
Middle Name:
Last Name:WEN
Suffix:I
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WYOMING
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1768
Mailing Address - Country:US
Mailing Address - Phone:714-834-9888
Mailing Address - Fax:
Practice Address - Street 1:711 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3622
Practice Address - Country:US
Practice Address - Phone:714-834-9888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist