Organization
ZIMMERMAN FAMILY DENTISTRY
Active
Parent organization
ZIMMERMAN FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ZIMMERMAN FAMILY DENTISTRY
Authorized official
DR. EMMETT LAWRENCE ZIMMERMAN DDS (PRESIDENT/OWNER)
(228) 255-4355
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
3387-06
MS
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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