Russell B Timms D.D.S.

NPI 1063416725 - Dentist - 1223G0001X

NPI Details
NPI 1063416725
Gender Male
Enumeration Date 06/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2020 9TH AVE
LONGVIEW WA, 98632-4005, US
Phone (360) 423-5580
Fax (360) 423-5596
Business Location
2020 9TH AVE
LONGVIEW WA, 98632-4005, US
Phone (360) 423-5580
Fax (360) 423-5596
Toxanomy
Taxonomy Code 1223G0001X
License State Alaska
License Number 1014
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According to our database, Dr. Russell B Timms D.D.S. NPI is 1063416725, taxonomy code is 1223G0001X and license number is 1014, license state is located at Alaska. Russell B Timms D.D.S. physically located at 2020 9th Ave, Longview WA, 98632-4005. NPI Number Russell B Timms D.D.S. has the Individual type.

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1063416725 NPI number is provided on an as is basis without warranty of any kind. 1063416725 is maintained by the National Plan & Provider Enumeration System. The contents of Russell B Timms D.D.S. are for informational purposes only.