Zola Dental Medford LLC

NPI #1437646908 in Medford, Oregon

Provider Information

NPI Number: 1437646908
Entity Type: Organization
Organization Name: Zola Dental Medford LLC
Primary Specialty: Dentist
Enumeration Date: Apr 19, 2018
Last Updated: Apr 19, 2018

Practice Location

Address: 922 E MAIN
City: Medford
State: Oregon
ZIP Code: 97504
Phone: (509) 475-5367

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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