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General NPI Number Information
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NPI Number | 1073558060
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Entity Type | Individual
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Provider Name | ZONGSHI JI BCS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9202 202ND ST W SUITE 202
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City | LAKEVILLE
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State | MN
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Zip | 55044-7915
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Country | US
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Telephone | 763-670-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 8867 AVIARY PATH
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-4446
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Country | US
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Telephone | 651-340-8846
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Fax | 651-430-8846
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D11729
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License Number State | MN
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