Provider Demographics
NPI:1235865742
Name:LISA K. ZABORSKI DDS., PC
Entity Type:Organization
Organization Name:LISA K. ZABORSKI DDS., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIORANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-739-1155
Mailing Address - Street 1:51333 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4344
Mailing Address - Country:US
Mailing Address - Phone:586-739-1155
Mailing Address - Fax:586-739-2400
Practice Address - Street 1:51333 MOUND RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4344
Practice Address - Country:US
Practice Address - Phone:586-739-1155
Practice Address - Fax:586-739-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental