Healthcare Provider Details

I. General information

NPI: 1235539339
Provider Name (Legal Business Name): JUFEN ZHOU DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1558 WASHINGTON BLVD
FREMONT CA
94539-5100
US

IV. Provider business mailing address

1558 WASHINGTON BLVD
FREMONT CA
94539-5100
US

V. Phone/Fax

Practice location:
  • Phone: 510-771-9918
  • Fax: 510-573-1459
Mailing address:
  • Phone: 510-771-9918
  • Fax: 510-573-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number63672
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: