Individual
GRANT ZAKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2127 E VICTORY DR, SAVANNAH, GA 31404-3917
(855) 901-6831
Mailing address
9815 SEASONS WEST DR UNIT 321, CARMEL, IN 46280-1497
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013631A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN122974
GA
Other
Enumeration date
12/12/2022
Last updated
02/21/2023
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