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Organization
ZAVISLAK AND PORTER DDS, PC
Active
Organization
ZAVISLAK AND PORTER DDS, PC
Active
Other names
Central Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE ZAVISLAK DDS (PRESIDENT)
(540) 786-9559
Entity
Organization
Contact information
Practice address
1340 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4940
(540) 786-9559
(540) 786-1119
Mailing address
1340 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4940
(540) 786-9559
(540) 786-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4018218
VA
1223G0001X
General Practice Dentistry
4018811
VA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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