| Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc | |
|
21038 Calistoga St. Middletown CA 95461-1124 | |
| (707) 987-2773 | |
| (707) 987-0688 |
| Full Name | Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc |
|---|---|
| Speciality | Dentist |
| Location | 21038 Calistoga St., Middletown, California |
| Authorized Official Name and Position | Ewa Konopka (PRESIDENT) |
| Authorized Official Contact | 7079872773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc 21038 Calistoga St. Middletown CA 95461-1124 Ph: (707) 987-2773 | Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc 21038 Calistoga St. Middletown CA 95461-1124 Ph: (707) 987-2773 |
| NPI Number | 1114137775 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114137775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45896 (California) | Primary |