MR. George Bernard Zacko, DDS

NPI #1073686499 in Reston, Virginia

Provider Information

NPI Number: 1073686499
Entity Type: Individual
Name: MR. George Bernard Zacko, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1712 CLUBHOUSE RD
Address 2: SUITE 106
City: Reston
State: Virginia
ZIP Code: 20190
Phone: (703) 471-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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