Organization
EZ DENTAL ASSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK RAYMOND ZIMMERMAN DMD (PRESIDENT)
(732) 458-7500
Entity
Organization
Contact information
Practice address
1139 BURNT TAVERN RD, BRICK, NJ 08724-1472
(732) 458-7500
(732) 840-6619
Mailing address
1139 BURNT TAVERN RD, BRICK, NJ 08724
(732) 458-7500
(732) 840-6619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15144
NJ
1223G0001X
General Practice Dentistry
Primary
20098
NJ
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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