MEDICARE: EILEEN C ZIERHUT, DDS, INC APDC

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	34580	CA

General Provider Information

NPI Number	:	1598899668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EILEEN C ZIERHUT, DDS, INC APDC

Provider Business Mailing Address
First Line	:	27674 NEWHALL RANCH RD UNIT 75
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4020
Country	:	US
Telephone Number	:	661-295-8288
Fax Number	:

Provider Business Practice Location Address
First Line	:	27674 NEWHALL RANCH RD UNIT 75
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4020
Country	:	US
Telephone Number	:	661-295-8288
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EILEEN C ZIERHUT
Credential	:	DDS
Telephone Number	:	661-295-8288

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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