Individual
MATTHEW TODD ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4546 MAIN ST, KANSAS CITY, MO 64111-1816
(816) 931-2342
Mailing address
9023 LOWELL AVE, OVERLAND PARK, KS 66212-2937
(913) 488-2018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024022033
MO
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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