Provider Demographics
NPI:1568705648
Name:JOSEPH JETT ZAPANTA,DDS.INC.
Entity Type:Organization
Organization Name:JOSEPH JETT ZAPANTA,DDS.INC.
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH JETT
Authorized Official - Middle Name:FERNANDEZ
Authorized Official - Last Name:ZAPANTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:626-337-4277
Mailing Address - Street 1:13757 AMAR RD STE A
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91746-1692
Mailing Address - Country:US
Mailing Address - Phone:626-337-4277
Mailing Address - Fax:626-337-6877
Practice Address - Street 1:13757 AMAR RD STE A
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-1692
Practice Address - Country:US
Practice Address - Phone:626-337-4277
Practice Address - Fax:626-337-6877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH JETT ZAPANTA,DDS.INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0350481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty