Organization
ZANDER DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L ZANDER DDS (DENTIST)
(715) 526-3314
Entity
Organization
Contact information
Practice address
152 WOODLAWN DR, SHAWANO, WI 54166-2200
(715) 526-3314
(715) 524-9893
Mailing address
152 WOODLAWN DR, SHAWANO, WI 54166-2200
(715) 526-3314
(715) 524-9893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2262015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33386000
—
WI
Enumeration date
12/12/2005
Last updated
08/22/2020
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