Individual
DR. BRUCE JOHN ZIMMERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1155 KELLY JOHNSON BLVD, SUITE 210, COLORADO SPRINGS, CO 80920-3932
(719) 593-9100
(719) 593-9101
Mailing address
1155 KELLY JOHNSON BLVD, SUITE 210, COLORADO SPRINGS, CO 80920-3932
(719) 593-9100
(719) 593-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104358
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02043586
—
CO
Enumeration date
12/07/2005
Last updated
07/08/2007
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