Provider Demographics
NPI:1215035233
Name:ZARTARIAN, RONALD WILLIAM (DMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:WILLIAM
Last Name:ZARTARIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 CONESTOGA RD
Mailing Address - Street 2:BUILDING TWO, SUITE 306 ROSEMONT BUSINESS CAMPUS
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1352
Mailing Address - Country:US
Mailing Address - Phone:610-526-0772
Mailing Address - Fax:610-526-0766
Practice Address - Street 1:919 CONESTOGA RD
Practice Address - Street 2:BUILDING TWO, SUITE 306
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:610-526-0772
Practice Address - Fax:610-526-0766
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021870L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist