Individual
DR. MARK ROY ZEMANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
203 SALEM CHURCH RD, STEPHENS CITY, VA 22655-5314
(540) 868-2740
Mailing address
203 SALEM CHURCH RD, STEPHENS CITY, VA 22655-5314
(540) 868-2740
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401411115
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401411115
DENTAL LICENSE
VA
Enumeration date
09/03/2006
Last updated
07/08/2007
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