Organization
MATTHEW L ZIZMOR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW L ZIZMOR DDS (PRESIDENT)
(617) 738-4788
Entity
Organization
Contact information
Practice address
1244 BOYLSTON STREET, SUITE 205, CHESTNUT HILL, MA 02467
(617) 738-4788
(617) 735-0031
Mailing address
1244 BOYLSTON STREET, SUITE 205, CHESTNUT HILL, MA 02467
(617) 738-4788
(617) 735-0031
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
13781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544958
UNITED CORNCORDIA
MA
Enumeration date
01/09/2007
Last updated
02/14/2008
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