Zola Dental, LLC

NPI #1295276913 in Medford, Oregon

Provider Information

NPI Number: 1295276913
Entity Type: Organization
Organization Name: Zola Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 1094 ROYAL CT
City: Medford
State: Oregon
ZIP Code: 97504-6138
Phone: (541) 776-0050

Authorized Official

Name: DR. ANTHONY MARK PAVENTY, DMD
Title: OWNER
Phone: (509) 475-5367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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