| Street | 4757 S University Dr | ||
| City/Town | Davie | ||
| State/Province/Region | Florida | ||
| Zip/Postal Code | 33328 | ||
| Phone Number | (954) 434-3331 | ||
| Country | United States |
| Full Name | Prof. Tony Zemlak DDS | ||
| Gender | male | ||
| Birthday | 1980-09-01 | ||
| Social Security Number | 521-99-9478 |
| Credit card brand | JCB | ||
| Credit card number | 3539792328511148 | ||
| Expire | 2030/2 | ||
| CVV | 776 |