Provider Demographics
NPI:1487824959
Name:ZAVARO & EZZI P.C
Entity Type:Organization
Organization Name:ZAVARO & EZZI P.C
Other - Org Name:DOWNTOWN DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVARO
Authorized Official - Suffix:
Authorized Official - Credentials:D M D
Authorized Official - Phone:617-523-5151
Mailing Address - Street 1:333 WASHINGTON ST
Mailing Address - Street 2:# 341
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-5177
Mailing Address - Country:US
Mailing Address - Phone:617-523-5151
Mailing Address - Fax:
Practice Address - Street 1:333 WASHINGTON ST
Practice Address - Street 2:# 341
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-5177
Practice Address - Country:US
Practice Address - Phone:617-523-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty