Provider Demographics
NPI:1235539339
Name:ZHOU, JUFEN (DDS, MS)
Entity Type:Individual
Prefix:
First Name:JUFEN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1558 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5100
Mailing Address - Country:US
Mailing Address - Phone:510-771-9918
Mailing Address - Fax:510-573-1459
Practice Address - Street 1:1558 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5100
Practice Address - Country:US
Practice Address - Phone:510-771-9918
Practice Address - Fax:510-573-1459
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA636721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice