Individual
NOUF ZIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NEWTON ST, SECOND FLOOR, PERIODONTICS DEPARTMENT, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
10 SUMMER ST, APT# 507, MALDEN, MA 02148-3926
(267) 844-9497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL13100
MA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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