Randall Zimmerman, DDS Valid NPI
Individual provider · Dentist · Jamestown, CA
- NPI
- 1356521041
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 32213 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-11-09
- Last updated
- 2007-11-09
Practice location
5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102
(209) 984-5291