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Organization

WALTER F. ZOLLER, D.M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER F ZOLLER D.M.D. (PRESIDENT)
(321) 223-6829
Entity
Organization

Contact information

Practice address
796 FLORENCIA CIRCLE, TITUSVILLE, FL 32780-4965
(321) 223-6829
Mailing address
796 FLORENCIA CIRCLE, PORT ST. JOHN, TITUSVILLE, FL 32780-4965
(321) 223-6829

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8641
FL

Other

Enumeration date
04/19/2008
Last updated
09/10/2012
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