Provider Demographics
NPI:1568528404
Name:ZBARACKI, THOMAS J JR (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:ZBARACKI
Suffix:JR
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:5005 MATTERHORN DRIVE
Mailing Address - Street 2:STE 1
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811
Mailing Address - Country:US
Mailing Address - Phone:218-625-8630
Mailing Address - Fax:218-625-8632
Practice Address - Street 1:5005 MATTERHORN DRIVE
Practice Address - Street 2:STE 1
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811
Practice Address - Country:US
Practice Address - Phone:218-625-8630
Practice Address - Fax:218-625-8632
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2010-11-30
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Provider Licenses
StateLicense IDTaxonomies
MND83291223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics