Individual
KYLE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1720 CONGRESS AVE, OSHKOSH, WI 54901-7701
(920) 235-3251
Mailing address
1720 CONGRESS AVE, OSHKOSH, WI 54901-7701
(920) 235-3251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001815-15
WI
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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