Provider Demographics
NPI:1164033866
Name:PAUL D ZAU DDS INC
Entity Type:Organization
Organization Name:PAUL D ZAU DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-762-2682
Mailing Address - Street 1:12520 MAGNOLIA BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2344
Mailing Address - Country:US
Mailing Address - Phone:818-762-2682
Mailing Address - Fax:
Practice Address - Street 1:12520 MAGNOLIA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2344
Practice Address - Country:US
Practice Address - Phone:818-762-2682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental