NPI | 1336502301 |
---|---|
Other Name | JOHN CHARLES ZYZO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DNF000458) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 11861) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2023-11-13 |