MEDICARE: JUFEN ZHOU DDS, MS

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
1	1223G0001X	General Practice Dentistry	63672	CA

General Provider Information

NPI Number	:	1235539339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUFEN ZHOU DDS, MS

Provider Business Mailing Address
First Line	:	1558 WASHINGTON BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-5100
Country	:	US
Telephone Number	:	510-771-9918
Fax Number	:	510-573-1459

Provider Business Practice Location Address
First Line	:	1558 WASHINGTON BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-5100
Country	:	US
Telephone Number	:	510-771-9918
Fax Number	:	510-573-1459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2014
Last Update Date	:	01/13/2017

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