Individual
MRS. AMANDA RENEE ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
877 E SOUTH BOULDER RD, LOUISVILLE, CO 80027-1345
(720) 287-2614
Mailing address
877 E SOUTH BOULDER RD, LOUISVILLE, CO 80027-1345
(720) 287-2614
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024594
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002024594
DENTAL HYGIENIST
CO
Enumeration date
06/02/2017
Last updated
07/21/2022
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