Individual
MICHAEL R ZETZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
899 ISLAND PARK DR, SUITE 103, DANIEL ISLAND, SC 29492-8112
(843) 278-1902
Mailing address
899 ISLAND PARK DR, SUITE 103, DANIEL ISLAND, SC 29492-8112
(843) 278-1902
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0592
SC
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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