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Organization
ZALE FAMILY DENTISTRY, P.C.
Active
Organization
ZALE FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A. ZALE DMD (DENTIST)
(815) 462-4040
Entity
Organization
Contact information
Practice address
2081 CALISTOGA DR STE 3S, NEW LENOX, IL 60451-4834
(815) 462-4040
(815) 462-4073
Mailing address
2081 CALISTOGA DR STE 3S, NEW LENOX, IL 60451-4834
(815) 462-4040
(815) 462-4073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025386
IL
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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