Individual
KEN ZHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Mailing address
17772 72ND PL N, MAPLE GROVE, MN 55311-2525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13908
MN
1223P0221X
Pediatric Dentistry
Primary
36132
TX
Other
Enumeration date
08/15/2017
Last updated
11/08/2023
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