Provider Demographics
NPI:1831475300
Name:ZOO DENTAL, PLLC
Entity Type:Organization
Organization Name:ZOO DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BONDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-585-0300
Mailing Address - Street 1:2412 N CONWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-2347
Mailing Address - Country:US
Mailing Address - Phone:956-585-0300
Mailing Address - Fax:956-585-4355
Practice Address - Street 1:2412 N CONWAY AVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-2347
Practice Address - Country:US
Practice Address - Phone:956-585-0300
Practice Address - Fax:956-585-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty