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NPI Code Detail

MEDICARE: JIMMY ZHU D.D.S.

MEDICARE:   JIMMY  ZHU  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE60681381WA

General Provider Information

NPI Number : 1174077721
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMMY ZHU D.D.S.
Provider Business Mailing Address
First Line : 14030 NE 24TH ST
Second Line : SUITE #103
City : BELLEVUE
State : WA
Zip : 98007-3724
Country : US
Telephone Number : 425-644-8485
Fax Number :
Provider Business Practice Location Address
First Line : 14030 NE 24TH ST
Second Line : SUITE #103
City : BELLEVUE
State : WA
Zip : 98007-3724
Country : US
Telephone Number : 425-644-8485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2016
Last Update Date : 03/22/2024

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Directions to “ JIMMY ZHU D.D.S.” Practice Location

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