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NPI Code Detail

MEDICARE: JAY P ZUROFF D.D.S., M.S.D., P.S.

MEDICARE: JAY P ZUROFF D.D.S., M.S.D., P.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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry6305WA

General Provider Information

NPI Number : 1558443267
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY P ZUROFF D.D.S., M.S.D., P.S.
Provider Business Mailing Address
First Line : 3321 W KENNEWICK AVE STE 260
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-7772
Fax Number : 509-735-4961
Provider Business Practice Location Address
First Line : 3321 W KENNEWICK AVE STE 260
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-7772
Fax Number : 509-735-4961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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