Provider Demographics
NPI:1164591558
Name:ZALD, HAROLD STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:STEVEN
Last Name:ZALD
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:BOX 555221
Mailing Address - Street 2:1ST DENTAL BATTALION, NAVAL DENTAL CENTER
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5221
Mailing Address - Country:US
Mailing Address - Phone:760-725-2569
Mailing Address - Fax:760-725-2025
Practice Address - Street 1:5127 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085
Practice Address - Country:US
Practice Address - Phone:248-528-1611
Practice Address - Fax:248-528-0245
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI121661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIHZ012166OtherBCBS