Organization
JENNIFER L ZOLL, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN ZOLL DDS (OWNER)
(419) 474-0733
Entity
Organization
Contact information
Practice address
3036 W SYLVANIA AVE, TOLEDO, OH 43613-4128
(419) 474-0733
(419) 474-5407
Mailing address
3036 W SYLVANIA AVE, TOLEDO, OH 43613-4128
(419) 474-0733
(419) 474-5407
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
022954
OH
1223P0221X
Pediatric Dentistry
Primary
18423
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701520
—
OH
05
—
3116372
—
OH
Enumeration date
04/08/2015
Last updated
04/08/2015
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