| Zavala Dentistry Pc | |
|
4939 W 14th St Cicero IL 60804-1419 | |
| (708) 652-1080 | |
| Not Available |
| Full Name | Zavala Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 4939 W 14th St, Cicero, Illinois |
| Authorized Official Name and Position | Jesse Zavala (DENTIST) |
| Authorized Official Contact | 8155340563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zavala Dentistry Pc 4939 W 14th St Cicero IL 60804-1419 Ph: (708) 652-1080 | Zavala Dentistry Pc 4939 W 14th St Cicero IL 60804-1419 Ph: (708) 652-1080 |
| NPI Number | 1396132890 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396132890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027256 (Illinois) | Primary |
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