Individual
DR. BRIAN A. ZALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
498 BROWN BLVD, BOURBONNAIS, IL 60914-2324
(815) 939-2520
Mailing address
2081 CALISTOGA DRIVE SUITE 3 SOUTH, NEW LENOX, IL 60451
(815) 462-4040
(815) 462-4073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025386
IL
Other
Enumeration date
05/30/2007
Last updated
07/05/2008
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