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NPI Code Detail

MEDICARE: JAMES G. ZALETEL, DDS, PC

MEDICARE: JAMES G. ZALETEL, DDS, PC
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 Dentistry4590VA

General Provider Information

NPI Number : 1578758611
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES G. ZALETEL, DDS, PC
Provider Business Mailing 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
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 : PRESIDENT
Name : DR. JAMES G ZALETEL
Credential : DDS
Telephone Number : 703-960-8670
Provider Enumeration Date : 09/12/2007
Last Update Date : 09/12/2007

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