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NPI Code Detail

MEDICARE: DR. JAMES GREGORY ZALETEL D. D. S.

MEDICARE: DR. JAMES GREGORY ZALETEL D. D. S.
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 Dentistry0401004590VA

General Provider Information

NPI Number : 1457442204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES GREGORY ZALETEL D. D. S.
Provider Business Mailing Address
First Line : 3908 RIVE DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-3031
Country : US
Telephone Number : 703-780-9355
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HUNTINGTON AVE STE 107
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1728
Country : US
Telephone Number : 703-960-8670
Fax Number : 703-960-0267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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