Individual
DIANE ZIMMERMAN-ALBOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7121 MAPLE AVE, MANCELONA, MI 49659-8604
(231) 649-3829
Mailing address
7121 MAPLE AVE, MANCELONA, MI 49659-8604
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010809
MI
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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