Provider Demographics
NPI:1447405840
Name:TURCIOS & ZARRUK DENTAL, P.A.
Entity Type:Organization
Organization Name:TURCIOS & ZARRUK DENTAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ERNESTO
Authorized Official - Last Name:TURCIOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-984-7050
Mailing Address - Street 1:315 BOWMAN RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211
Mailing Address - Country:US
Mailing Address - Phone:305-984-7050
Mailing Address - Fax:
Practice Address - Street 1:315 N BOWMAN RD
Practice Address - Street 2:SUITE11
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2739
Practice Address - Country:US
Practice Address - Phone:305-984-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3607261QD0000X
AR3555261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental