MEDICARE: STAN ZEBROWSKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	21425	TX

General Provider Information

NPI Number	:	1033255724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STAN ZEBROWSKI DDS

Provider Business Mailing Address
First Line	:	18160 SAN PEDRO AVE STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1432
Country	:	US
Telephone Number	:	210-495-7800
Fax Number	:	210-495-7805

Provider Business Practice Location Address
First Line	:	18160 SAN PEDRO AVE STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1432
Country	:	US
Telephone Number	:	210-495-7800
Fax Number	:	210-495-7805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	02/16/2011

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