Individual
MR. TREVOR ZLATNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
MSC OB - 3500 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-4031
(505) 925-4030
Mailing address
MSC OB - 3500 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-4031
(505) 925-4030
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-117
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
03/06/2019
Last updated
07/27/2019
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