Individual
MS. BONNIE FELICE ZIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
593 EDDY ST, SAMUELS DENTAL, PROVIDENCE, RI 02903-4923
(401) 444-5284
Mailing address
593 EDDY ST, SAMUELS DENTAL, PROVIDENCE, RI 02903-4923
(401) 444-5284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02910
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BZ61522
—
RI
01
—
DEN02910
LICENSE
RI
Enumeration date
11/13/2006
Last updated
02/18/2014
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