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General NPI Number Information
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NPI Number | 1346462876
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Entity Type | Organization
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Legal Business Name | ZETTEL AND ZETTEL DDS, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 648 PROGRESS STREET SUITE 201
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City | WEST BRANCH
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State | MI
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Zip | 48661
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Country | US
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Telephone | 989-345-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 648 PROGRESS STREET SUITE 201 PO BOX 399
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City | WEST BRANCH
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State | MI
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Zip | 48661
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Country | US
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Telephone | 989-345-2221
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL M ZETTEL
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Credential |
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Telephone | 989-345-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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