Healthcare Provider Details

I. General information

NPI: 1205426111
Provider Name (Legal Business Name): HUI ZUO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 GLEN RD
HOPKINTON MA
01748-2344
US

IV. Provider business mailing address

31 GLEN RD
HOPKINTON MA
01748-2344
US

V. Phone/Fax

Practice location:
  • Phone: 617-483-0054
  • Fax:
Mailing address:
  • Phone: 617-483-0054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN1858905
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: