Individual
DR. DANIEL KENNETH ZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 S MAIN ST, SEYMOUR, WI 54165-1432
(920) 833-6593
(920) 833-6593
Mailing address
308 S MAIN ST, SEYMOUR, WI 54165-1432
(920) 833-6593
(920) 833-6593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1633G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33548000
—
WI
Enumeration date
10/26/2006
Last updated
07/08/2007
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