Etzkorn, Zachary Thomas

Etzkorn, Zachary Thomas is an individual health care provider with primary practice located at 3953 Van Dyke Rd , Lutz FL 33558-8025. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Etzkorn, Zachary Thomas can be contacted via phone (813) 264-5509.

Contact Information

Primary practice address
3953 Van Dyke Rd Lutz FL 33558-8025
Phone: (813) 264-5509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16713 Florida

Profile Details

NPI number 1740365139
LBN Legal business name Etzkorn, Zachary Thomas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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