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NPI Code Detail

MEDICARE: ZANZI DENTAL GROUP, APC

MEDICARE: ZANZI DENTAL GROUP, APC
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
11223G0001XGeneral Practice Dentistry52491CA

General Provider Information

NPI Number : 1033300058
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZANZI DENTAL GROUP, APC
Provider Business Mailing Address
First Line : 6910 DOUGLAS BLVD
Second Line : SUITE F
City : GRANITE BAY
State : CA
Zip : 95746-6276
Country : US
Telephone Number : 916-780-7676
Fax Number : 916-780-7681
Provider Business Practice Location Address
First Line : 6910 DOUGLAS BLVD
Second Line : SUITE F
City : GRANITE BAY
State : CA
Zip : 95746-6276
Country : US
Telephone Number : 916-780-7676
Fax Number : 916-780-7681
Authorized Official
Title or Position : CFO
Name : DR. NADER ZANZI
Credential : D.M.D
Telephone Number : 916-780-7676
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

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