Individual
DR. SAM DAVID ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6 ISELIN LN, OCEANPORT, NJ 07757-1191
(732) 544-2067
Mailing address
6 ISELIN LN, OCEANPORT, NJ 07757-1191
(732) 544-2067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D100853700
NJ
Other
Enumeration date
01/15/2008
Last updated
12/08/2008
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