NPI | 1174534440 |
---|---|
Former Legal Business Name | ZDEP DDS & ZDEP DDS PC |
Entity Type | Organization |
Authorized Contact | STEVEN R ZDEP President 315-471-6188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 33833) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2019-09-06 |