Van Zyl Center for Advanced Dentistry
NPI #1659793495 in Collierville, Tennessee
Provider Information
- NPI Number
- 1659793495
- Entity Type
- Organization
- Organization Name
- Van Zyl Center for Advanced Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 14, 2014
- Last Updated
- Jan 14, 2014
Practice Location
- Address
- 1108 HALLE PARK CIR
- City
- Collierville
- State
- Tennessee
- ZIP Code
- 38017-7084
- Phone
- (901) 457-7753
Authorized Official
- Name
- DR. ETTIENNE R. VAN ZYL, D.D.S.
- Title
- DENTIST/OWNER
- Phone
- (901) 457-7753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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