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Organization
FORT WAYNE PROSTHODONTICS, INC.
Active
Organization
FORT WAYNE PROSTHODONTICS, INC.
Active
Other names
Ryan Zimmerman DDS INC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE JAE BROWER (OFFICE MANAGER)
(260) 486-8778
Entity
Organization
Contact information
Practice address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
Mailing address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
NULL
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
09/10/2020
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