Provider Demographics
NPI:1336210731
Name:ZADOW, LYNN DANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:DANA
Last Name:ZADOW
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 1:17062 PRESTON RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-931-7025
Mailing Address - Fax:972-248-3104
Practice Address - Street 1:17062 PRESTON RD
Practice Address - Street 2:SUITE 126
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:972-931-7025
Practice Address - Fax:972-248-3104
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11875122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist