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Individual

ESTERA ZANCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
801 W WALL ST, GRAPEVINE, TX 76051
(817) 481-4717
Mailing address
801 W WALL ST, GRAPEVINE, TX 76051
(817) 481-4717

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25404
TX

Other

Enumeration date
08/06/2010
Last updated
02/05/2015
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