| NPI | 1447713219 |
|---|---|
| Former Legal Business Name | RYAN ZIMMERMAN DDS INC |
| Entity Type | Organization |
| Authorized Contact | KELLIE JAE BROWER Office Manager 260-486-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2020-09-10 |