| Walter F. Zoller, D.m.d., P.a. | |
|
796 Florencia Circle Titusville FL 32780-4965 | |
| (321) 223-6829 | |
| Not Available |
| Full Name | Walter F. Zoller, D.m.d., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 796 Florencia Circle, Titusville, Florida |
| Authorized Official Name and Position | Walter F Zoller (PRESIDENT) |
| Authorized Official Contact | 3212236829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter F. Zoller, D.m.d., P.a. 796 Florencia Circle Port St. John Titusville FL 32780-4965 Ph: (321) 223-6829 | Walter F. Zoller, D.m.d., P.a. 796 Florencia Circle Titusville FL 32780-4965 Ph: (321) 223-6829 |
| NPI Number | 1578737524 |
|---|---|
| Provider Enumeration Date | 04/19/2008 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578737524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8641 (Florida) | Primary |
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