Organization
DANIEL S ZAVADSKY DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S ZAVADSKY DDS (OWNER PRESIDENT)
(608) 524-4212
Entity
Organization
Contact information
Practice address
215 N WEBB AVE, REEDSBURG, WI 53959-1606
(608) 524-4212
(608) 524-4212
Mailing address
215 N WEBB AVE, REEDSBURG, WI 53959-1606
(608) 524-4212
(608) 524-4212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5001095
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33547300
—
WI
Enumeration date
01/11/2007
Last updated
08/22/2020
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