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Individual
DR. ZACHARY RYAN KINGSBERG
Active
Individual
DR. ZACHARY RYAN KINGSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31166
TX
1223G0001X
General Practice Dentistry
31166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346562723
—
TX
Enumeration date
07/07/2015
Last updated
12/05/2021
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