Individual
DR. KENNETH L. ZACHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
52 COCHITUATE RD, WAYLAND, MA 01778-2607
(508) 358-2091
Mailing address
52 COCHITUATE RD, WAYLAND, MA 01778-2607
(508) 358-2091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y52842
BLUE CROSS AND BLUE SHIELD
MA
Enumeration date
05/19/2008
Last updated
05/19/2008
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