Provider Demographics
NPI:1235289232
Name:ZULINSKI, MIECZYSTAWA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MIECZYSTAWA
Middle Name:
Last Name:ZULINSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 SANDPIPER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-2245
Mailing Address - Country:US
Mailing Address - Phone:386-848-8487
Mailing Address - Fax:
Practice Address - Street 1:208 S BEACH ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4404
Practice Address - Country:US
Practice Address - Phone:386-253-3413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN142311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice