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Individual
ISHAN ZALA
Active
Individual
ISHAN ZALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856338
MA
1223G0001X
General Practice Dentistry
Primary
22DI02627900
NJ
Other
Enumeration date
07/11/2013
Last updated
06/02/2016
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