Organization
DAVID T. VAN ZANT DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VAN ZANT (PRESIDENT)
(937) 382-2627
Entity
Organization
Contact information
Practice address
2125 ROMBACH AVE, WILMINGTON, OH 45177-2099
(937) 382-2627
(937) 382-0647
Mailing address
2125 ROMBACH AVE, PO BOX 272, WILMINGTON, OH 45177-2099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864113
—
OH
Enumeration date
01/20/2010
Last updated
01/20/2010
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