Provider Demographics
NPI:1154482289
Name:ZHU, QIANRU (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:QIANRU
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 RIDGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4862
Mailing Address - Country:US
Mailing Address - Phone:626-581-8988
Mailing Address - Fax:909-627-3228
Practice Address - Street 1:13768 ROSWELL AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1401
Practice Address - Country:US
Practice Address - Phone:909-627-1266
Practice Address - Fax:909-627-3228
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice