Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 19209 | MA |
NPI | 1003012766 |
---|---|
Provider Name | Dr. Zachary U Kano |
First Address | Brookline, MA 02445-1930 |
Second Address | Brookline, MA 02445-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 21/10/2009 |