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Individual
DR. THOMAS EDWARD ZAJAC
Active
Individual
DR. THOMAS EDWARD ZAJAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-022537-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018889660001
—
PA
01
—
14914
DORAL DENTAL
PA
01
—
415051
UNITED CONCORDIA
PA
01
—
DS-022537-L
STATE LICENSE NUMBER
PA
Enumeration date
02/19/2007
Last updated
03/07/2023
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