Individual
DONALD ZAJAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 S PARK BLVD, GRAPEVINE, TX 76051-7835
(817) 251-2688
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(817) 251-2688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14379
TX
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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