Provider Demographics
NPI:1013127851
Name:ZATTO, MICHAEL DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:ZATTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-5110
Mailing Address - Country:US
Mailing Address - Phone:707-765-9630
Mailing Address - Fax:707-765-9630
Practice Address - Street 1:1400 PROFESSIONAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-5110
Practice Address - Country:US
Practice Address - Phone:707-765-9630
Practice Address - Fax:707-765-9630
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice