Organization
MATTHEW VANZANTEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW VANZANTEN DDS (DENTIST)
(740) 574-1515
Entity
Organization
Contact information
Practice address
11862 GALLIA PIKE RD, WHEELERSBURG, OH 45694-8437
(740) 574-1515
Mailing address
11862 GALLIA PIKE, WHEELERSBURG, OH 45694-8437
(740) 574-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
30025116
OH
Other
Enumeration date
06/08/2017
Last updated
10/29/2024
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