Zavala Dentistry PC

NPI #1396132890 in Cicero, Illinois

Provider Information

NPI Number: 1396132890
Entity Type: Organization
Organization Name: Zavala Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Apr 22, 2015
Last Updated: Apr 22, 2015

Practice Location

Address: 4939 W 14TH ST
City: Cicero
State: Illinois
ZIP Code: 60804-1419
Phone: (708) 652-1080

Authorized Official

Name: DR. JESSE ZAVALA, DDS
Title: DENTIST
Phone: (815) 534-0563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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