MEDICARE: DR. SYLVIA ZANGL 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
1	122300000X	Dentist	53963	CA

General Provider Information

NPI Number	:	1790980936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA ZANGL DDS

Provider Business Mailing Address
First Line	:	411 E HUNTINGTON DR STE 120
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3788
Country	:	US
Telephone Number	:	626-254-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 E HUNTINGTON DR STE 120
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3788
Country	:	US
Telephone Number	:	626-254-0707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	07/07/2024

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