Organization
ZOLA DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY MARK PAVENTY DMD (OWNER)
(509) 475-5367
Entity
Organization
Contact information
Practice address
1094 ROYAL CT, MEDFORD, OR 97504-6138
(541) 776-0050
Mailing address
1094 ROYAL CT, MEDFORD, OR 97504-6138
(541) 776-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9209
OR
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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