Organization
ZIMMERMAN FAMILY DENTISTRY ACQUISITION, PLLC
Active
Other names
Zimmerman Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE L KINSEY (FRONT DESK MANAGER)
(228) 863-5171
Entity
Organization
Contact information
Practice address
1213 BROAD AVE, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Mailing address
1213 BROAD AVE, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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