Provider Demographics
NPI:1114195831
Name:VICTOR M ZURITA DDS
Entity Type:Organization
Organization Name:VICTOR M ZURITA DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S.
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZURITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-802-0449
Mailing Address - Street 1:1720 YALE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4032
Mailing Address - Country:US
Mailing Address - Phone:713-802-0449
Mailing Address - Fax:
Practice Address - Street 1:1720 YALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4032
Practice Address - Country:US
Practice Address - Phone:713-802-0449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty