Individual
DR. JENNIFER L. ZOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3036 W SYLVANIA AVE, TOLEDO, OH 43613-4128
(419) 474-0733
(419) 474-5407
Mailing address
3036 W SYLVANIA AVE, TOLEDO, OH 43613-4128
(419) 474-0733
(419) 474-5407
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18423
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701520
—
OH
01
—
341817921
FED TAX ID
OH
Enumeration date
06/22/2005
Last updated
04/02/2012
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