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Mr. Corey Dean Zimmerman
Denturist in Dallas, Oregon
NPI 1255540852

Corey Dean Zimmerman is a Denturist based in Dallas, OR. Corey Dean Zimmerman practices in Dallas, OR. The NPI Number for Corey Dean Zimmerman is 1255540852 and holds a License No. DT-DO-161070 (Oregon).

The current practice location address for Corey Dean Zimmerman is 322 Main St, Dallas, OR and can be reached out via phone at 503-623-8846 and via fax at 503-623-8846.

Location: 322 Main St, Dallas, OR, 97338-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255540852
Provider Name
Corey Dean Zimmerman
Credential
Provider Entity Type
Individual
Gender
Female
Address
322 Main St, Dallas, OR, 97338-3312
Phone Number
503-623-8846
Fax Number
503-623-8846
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
322 Main St
City
Dallas
State
Oregon
Zip
97338-3312
Phone Number
503-623-8846
Fax Number
503-623-8846
person
Provider Business Mailing Address Details
Address
322 Main St
City
Dallas
State
Oregon
Zip
97338-3312
Phone Number
503-623-8846
Fax Number
503-623-8846
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DT-DO-161070 (Oregon)
Definition
Definition to come.
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