Provider Demographics
NPI:1619137221
Name:ZENA DENTAL PLLC
Entity Type:Organization
Organization Name:ZENA DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ENEHIZENA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EHONDOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-272-0003
Mailing Address - Street 1:445 E FM 1382
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6047
Mailing Address - Country:US
Mailing Address - Phone:469-272-0003
Mailing Address - Fax:469-272-0004
Practice Address - Street 1:445 E FM 1382
Practice Address - Street 2:SUITE 6
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6047
Practice Address - Country:US
Practice Address - Phone:469-272-0003
Practice Address - Fax:469-272-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22405261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental