Individual
EMMETT LAWRENCE ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13165 VIDALIA RD, PASS CHRISTIAN, MS 39571-9162
(228) 255-4355
(228) 255-6761
Mailing address
13165 VIDALIA RD, PASS CHRISTIAN, MS 39571-9162
(228) 255-4355
(228) 255-6761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3387-06
MS
Other
Enumeration date
05/10/2007
Last updated
06/24/2015
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