Provider Demographics
NPI:1760623284
Name:ZEILER, KARL B (DMD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:B
Last Name:ZEILER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 NORTH LARCHMONT BLVD.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-1305
Mailing Address - Country:US
Mailing Address - Phone:323-465-2127
Mailing Address - Fax:323-465-2128
Practice Address - Street 1:581 NORTH LARCHMONT BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-1305
Practice Address - Country:US
Practice Address - Phone:323-465-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15325122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist