Healthcare Provider Details

I. General information

NPI: 1821734765
Provider Name (Legal Business Name): JIULIN ZHU PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37624 SE FURY ST STE 200
SNOQUALMIE WA
98065-9680
US

IV. Provider business mailing address

37624 SE FURY ST STE 200
SNOQUALMIE WA
98065-9680
US

V. Phone/Fax

Practice location:
  • Phone: 425-292-9230
  • Fax: 425-292-9239
Mailing address:
  • Phone: 917-386-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JIULIN ZHU
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 917-386-5212