Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DN 13594 | FL |
NPI | 1134242696 |
---|---|
Provider Name | Dr. David J Zaner |
First Address | Ocala, FL 34474-4446 |
Second Address | Ocala, FL 34474-4446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/07/2007 |