Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 62197 | CA |
NPI | 1013331008 |
---|---|
Provider Name | Dr. Naomi Zaul |
First Address | Davis, CA 95616-1073 |
Second Address | Davis, CA 95616-1073 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2014 |
Last Update Date | 11/02/2014 |