Provider Demographics
NPI:1396239646
Name:ZINMAN DDS, INC.
Entity type:Organization
Organization Name:ZINMAN DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TUVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-834-0011
Mailing Address - Street 1:13003 VAN NUYS BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-8321
Mailing Address - Country:US
Mailing Address - Phone:818-834-0011
Mailing Address - Fax:818-834-0099
Practice Address - Street 1:13003 VAN NUYS BLVD STE H
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-8321
Practice Address - Country:US
Practice Address - Phone:818-834-0011
Practice Address - Fax:818-834-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty