| Zelazny Family Dentistry | |
|
10128 Brook Rd Glen Allen VA 23059-6514 | |
| (804) 627-0215 | |
| (804) 627-0217 |
| Full Name | Zelazny Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10128 Brook Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Lloyd James Zelazny (OWNER-DENTIST) |
| Authorized Official Contact | 8046270215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zelazny Family Dentistry 10128 Brook Rd Glen Allen VA 23059-6514 Ph: (804) 627-0215 | Zelazny Family Dentistry 10128 Brook Rd Glen Allen VA 23059-6514 Ph: (804) 627-0215 |
| NPI Number | 1629190541 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629190541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008874 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 0401008890 (Virginia) | Secondary |
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