Provider Demographics
NPI:1992896450
Name:ZHOU, PING (DDS)
Entity type:Individual
Prefix:
First Name:PING
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 VILLAGE CENTER PL
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-6079
Mailing Address - Country:US
Mailing Address - Phone:425-493-0608
Mailing Address - Fax:425-493-0720
Practice Address - Street 1:12221 VILLAGE CENTER PL
Practice Address - Street 2:SUITE 207
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-6079
Practice Address - Country:US
Practice Address - Phone:425-493-0608
Practice Address - Fax:425-493-0720
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000080591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5047196OtherDEPT. OF HEALTH