Individual
DR. MATTHEW RENNER WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6690 S. BROADWAY, CENTENNIAL, CO 80121
(303) 794-6339
(248) 967-7794
Mailing address
6690 S. BROADWAY, CENTENNIAL, CO 80121
(303) 794-6339
(248) 967-7794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-10144
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020070
MI
Other
Enumeration date
07/15/2009
Last updated
06/18/2012
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