Healthcare Provider Details
I. General information
NPI: 1427621838
Provider Name (Legal Business Name): HUANG AND ZHOU, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2021
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1811 156TH AVE NE STE 3
BELLEVUE WA
98007-4344
US
IV. Provider business mailing address
1811 156TH AVE NE STE 3
BELLEVUE WA
98007-4344
US
V. Phone/Fax
- Phone: 425-614-1098
- Fax: 425-614-1139
- Phone: 425-614-1098
- Fax: 425-614-1139
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HENG
ZHOU
Title or Position: OWNER
Credential: DDS
Phone: 206-302-8474