Organization
ZAVISLAK AND PORTER DDS, PC
Active
Other names
Central Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE ZAVISLAK DDS (PRESIDENT)
(540) 786-9559
Entity
Organization
Contact information
Practice address
1340 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4940
(540) 786-9559
(540) 786-1119
Mailing address
1340 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4940
(540) 786-9559
(540) 786-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4018218
VA
1223G0001X
General Practice Dentistry
4018811
VA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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