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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

Other

Enumeration date
04/09/2019
Last updated
09/10/2020
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