Individual
JUSTIN ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5993
Mailing address
12 S MAPLE AVE APT 310, MARLTON, NJ 08053-2217
(631) 327-3958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02793700
NJ
Other
Enumeration date
07/29/2014
Last updated
07/14/2020
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