Provider Demographics
NPI:1073039368
Name:ZHOU, PINGTING (DDS, MPH)
Entity Type:Individual
Prefix:
First Name:PINGTING
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9436 N SAYBROOK DR APT 129
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0640
Mailing Address - Country:US
Mailing Address - Phone:424-254-4388
Mailing Address - Fax:
Practice Address - Street 1:1095 HERNDON AVE STE 102
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0504
Practice Address - Country:US
Practice Address - Phone:559-472-7148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1016521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice