Provider Demographics
NPI:1972747608
Name:HARATZ, ZINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZINA
Middle Name:
Last Name:HARATZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 HARBOR VW S
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-5057
Mailing Address - Country:US
Mailing Address - Phone:954-455-3553
Mailing Address - Fax:
Practice Address - Street 1:943 HARBOR VW S
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-5057
Practice Address - Country:US
Practice Address - Phone:954-455-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 18608122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist