Provider Demographics
NPI:1699203893
Name:MYRNA ZOHNI DMD PC
Entity type:Organization
Organization Name:MYRNA ZOHNI DMD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHNI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-865-6265
Mailing Address - Street 1:101 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-2601
Mailing Address - Country:US
Mailing Address - Phone:508-865-6265
Mailing Address - Fax:
Practice Address - Street 1:101 ELM ST
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-2601
Practice Address - Country:US
Practice Address - Phone:508-865-6265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty