Individual
RYAN DEAN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
(260) 486-7679
Mailing address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
(260) 486-7679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011459A
IN
1223P0700X
Prosthodontics
Primary
12011459A
IN
Other
Enumeration date
06/18/2010
Last updated
02/02/2023
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