| NPI | 1912125899 |
|---|---|
| Former Name | COURTNEY ANN ZADELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 30.023557) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-023557) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH Limited Teaching) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-12-18 |