Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 30021812 | OH |
NPI | 1003003336 |
---|---|
Provider Name | Dr. Attila Zoltan Nagy |
First Address | Bucyrus, OH 44820 |
Second Address | Bucyrus, OH 44820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 01/10/2007 |