Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 47267 | CA |
NPI | 1124094081 |
---|---|
Provider Name | Dr. Qizhi Hu |
First Address | Dublin, CA 94568-3017 |
Second Address | Dublin, CA 94568-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 06/04/2010 |