Individual
ZACHARY J BEHRENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2575 CORAL CT, CORALVILLE, IA 52241-2811
(319) 545-2345
(319) 545-2349
Mailing address
2575 CORAL CT, CORALVILLE, IA 52241-2811
(319) 545-2345
(319) 545-2345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09892
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09892
—
IA
Enumeration date
07/20/2021
Last updated
07/20/2021
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