Individual
DR. RICHARD ZAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D13469
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D13469
MN
Other
Enumeration date
07/09/2014
Last updated
11/29/2017
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