Provider Demographics
NPI:1093964215
Name:ZAYTOUN, MARY PAULA (DDS, MSO)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:PAULA
Last Name:ZAYTOUN
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Gender:F
Credentials:DDS, MSO
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Mailing Address - Street 1:5041 SIX FORKS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4493
Mailing Address - Country:US
Mailing Address - Phone:919-782-6911
Mailing Address - Fax:919-782-6913
Practice Address - Street 1:5041 SIX FORKS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4493
Practice Address - Country:US
Practice Address - Phone:919-782-6911
Practice Address - Fax:919-782-6913
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC44611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics