Provider Demographics
NPI:1992824734
Name:ZONIES-HOLGADO DENTAL ASSOC., PA
Entity Type:Organization
Organization Name:ZONIES-HOLGADO DENTAL ASSOC., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NIEL
Authorized Official - Suffix:
Authorized Official - Credentials:CDA
Authorized Official - Phone:856-429-4600
Mailing Address - Street 1:401 KINGS HWY S
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2500
Mailing Address - Country:US
Mailing Address - Phone:856-429-4600
Mailing Address - Fax:856-429-4599
Practice Address - Street 1:401 KINGS HWY S
Practice Address - Street 2:SUITE 2A
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2500
Practice Address - Country:US
Practice Address - Phone:856-429-4600
Practice Address - Fax:856-429-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty