Provider Demographics
NPI:1114096534
Name:ZENTGRAF, RALPH FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:FRANK
Last Name:ZENTGRAF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13860 RAISED ANTLER CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-7627
Mailing Address - Country:US
Mailing Address - Phone:804-739-6163
Mailing Address - Fax:
Practice Address - Street 1:13860 RAISED ANTLER CIR
Practice Address - Street 2:SUITE B
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-7627
Practice Address - Country:US
Practice Address - Phone:804-739-6163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010067571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice