| Zacko & Shatluch Ltd | |
|
1712 Clubhouse Road Suite 106 Reston VA 20190 | |
| (703) 471-6600 | |
| (703) 471-1675 |
| Full Name | Zacko & Shatluch Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1712 Clubhouse Road, Reston, Virginia |
| Authorized Official Name and Position | George Bernard Zacko (OWNER DENTIST) |
| Authorized Official Contact | 7034716600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zacko & Shatluch Ltd 1712 Clubhouse Road Suite 106 Reston VA 20190 Ph: (703) 471-6600 | Zacko & Shatluch Ltd 1712 Clubhouse Road Suite 106 Reston VA 20190 Ph: (703) 471-6600 |
| NPI Number | 1356401822 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356401822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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