Healthcare Provider Details

I. General information

NPI: 1003701103
Provider Name (Legal Business Name): CLARA ZHOU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 S JOG RD STE 210
DELRAY BEACH FL
33446-2166
US

IV. Provider business mailing address

101 W CAMINO REAL APT 315
BOCA RATON FL
33432-5722
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-6664
  • Fax:
Mailing address:
  • Phone: 305-497-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: