Andrew Blake Zufall | Redding, CA • PECOS Search

Andrew Blake Zufall

Dentist

Dental Providers

2950 Eureka Way, Redding, CA 96001-0200

PECOS Enrollment

Based on the most recent information from CMS, provider Andrew Blake Zufall does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1861129884
Provider Type
Individual
Full Name
Zufall, Andrew Blake
Title
Dr.
Credential
DMD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/2/2022
Last Updated
8/2/2022

Contact Information

Practice Location

2950 Eureka Way, Redding, CA 96001-0200

Unlisted Fax

Mailing Location

2950 Eureka Way, Redding, CA 96001-0200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 107644 California