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Individual

ISAAC ZISBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
40 CHURCH AVE STE 101, WAREHAM, MA 02571-2093
(508) 295-3388
Mailing address
40 CHURCH AVE STE 101, WAREHAM, MA 02571-2093
(508) 295-3388

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN03305
RI
1223G0001X
General Practice Dentistry
Primary
DN1857502
MA

Other

Enumeration date
07/11/2016
Last updated
09/12/2024
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