Provider Demographics
NPI:1770816456
Name:KARL J. ZEREN, D.D.S., LLC
Entity Type:Organization
Organization Name:KARL J. ZEREN, D.D.S., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZEREN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-252-0871
Mailing Address - Street 1:9515 DEERECO RD
Mailing Address - Street 2:SUITE #308
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2116
Mailing Address - Country:US
Mailing Address - Phone:410-252-0871
Mailing Address - Fax:410-252-0431
Practice Address - Street 1:9515 DEERECO RD
Practice Address - Street 2:SUITE #308
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2116
Practice Address - Country:US
Practice Address - Phone:410-252-0871
Practice Address - Fax:410-252-0431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty