Organization
CONSUELA ZAU DENTAL, INC
Active
Other names
Consuela Zau Dental, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA CONSUELA ZAU DDS (DENTIST)
(323) 741-0556
Entity
Organization
Contact information
Practice address
4354 FOUNTAIN AVE, LOS ANGELES, CA 90029-2226
(323) 741-0556
Mailing address
14500 SHERMAN CIR, VAN NUYS, CA 91405-6209
(818) 259-7033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64189
CA
Other
Enumeration date
09/01/2017
Last updated
08/06/2019
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