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NPI Code Detail

MEDICARE: DAYNA ZOLLER DDS

MEDICARE: DAYNA ZOLLER 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
1122300000XDentistD08925700NJ

General Provider Information

NPI Number : 1285812743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYNA ZOLLER DDS
Provider Business Mailing Address
First Line : 349 E NORTHFIELD RD
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-4802
Country : US
Telephone Number : 973-994-3724
Fax Number :
Provider Business Practice Location Address
First Line : 779 SPRINGFIELD AVE
Second Line :
City : SUMMIT
State : NJ
Zip : 07901-2332
Country : US
Telephone Number : 973-994-3724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2008
Last Update Date : 02/04/2020

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Directions to “ DAYNA ZOLLER DDS” Practice Location

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