MR. Corey Dean Zimmerman

NPI #1255540852 in Dallas, Oregon

Provider Information

NPI Number
1255540852
Entity Type
Individual
Name
MR. Corey Dean Zimmerman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Denturist
Enumeration Date
May 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
322 MAIN ST
Address 2
SUITE 110
City
Dallas
State
Oregon
ZIP Code
97338-3312
Phone
(503) 623-8846

Specialties & Taxonomy Codes

Specialty
Denturist

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