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Individual

DR. JEFFREY GEORGE ZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1320 S. GREEN BAY RD., RACINE, WI 53406
(262) 637-9371
Mailing address
1320 S. GREEN BAY RD., RACINE, WI 53406
(952) 594-0969

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.029319
IL
1223G0001X
General Practice Dentistry
59289
CA
1223G0001X
General Practice Dentistry
60198
KS
1223G0001X
General Practice Dentistry
Primary
7022-15
WI

Other

Enumeration date
08/30/2005
Last updated
04/11/2013
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