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NPI Code Detail

MEDICARE: VICTOR M ZURITA DDS

MEDICARE: VICTOR M ZURITA 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
11223P0221XPediatric Dentistry15470TX

General Provider Information

NPI Number : 1114195831
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICTOR M ZURITA DDS
Provider Business Mailing Address
First Line : 1720 YALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4032
Country : US
Telephone Number : 713-802-0449
Fax Number :
Provider Business Practice Location Address
First Line : 1720 YALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4032
Country : US
Telephone Number : 713-802-0449
Fax Number :
Authorized Official
Title or Position : D.D.S.
Name : VICTOR ZURITA
Credential :
Telephone Number : 713-802-0449
Provider Enumeration Date : 02/15/2008
Last Update Date : 02/15/2008

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Directions to “VICTOR M ZURITA DDS ” Practice Location

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