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Organization
ZRALLACK DENTAL
Active
Organization
ZRALLACK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ZRALLACK D.M.D. (DENTIST)
(321) 267-7970
Entity
Organization
Contact information
Practice address
2670 GARDEN ST, TITUSVILLE, FL 32796-3176
(321) 267-7970
(321) 264-9289
Mailing address
2670 GARDEN ST, TITUSVILLE, FL 32796-3176
(321) 267-7970
(321) 264-9289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14970
FL
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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