Provider Demographics
NPI:1699200691
Name:ZS DENTAL
Entity Type:Organization
Organization Name:ZS DENTAL
Other - Org Name:DR.DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-627-6305
Mailing Address - Street 1:17503 LA CANTERA PKWY
Mailing Address - Street 2:#104-606
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-8207
Mailing Address - Country:US
Mailing Address - Phone:210-627-6305
Mailing Address - Fax:210-681-8887
Practice Address - Street 1:23522 WILDERNESS OAK
Practice Address - Street 2:#107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2408
Practice Address - Country:US
Practice Address - Phone:210-627-6305
Practice Address - Fax:210-681-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty