Timothy M. O'bryan Dds, Llc

NPI 1285887448 - Clinic/Center - 261QD0000X

NPI Details
NPI 1285887448
Enumeration Date 10/30/2008
Last Updated 10/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TIMOTHY MICHAEL TIMOTHY
Position MANAGER
Phone (573) 756-4344
Fax
Practice Location
12 E HARRISON ST
FARMINGTON MO, 63640-1859, US
Phone (573) 756-4344
Fax
Business Location
12 E HARRISON ST
FARMINGTON MO, 63640-1859, US
Phone (573) 756-4344
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Missouri
License Number 2006015354
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According to our database, Timothy M. O'bryan Dds, Llc NPI is 1285887448, taxonomy code is 261QD0000X and license number is 2006015354, license state is located at Missouri. Timothy M. O'bryan Dds, Llc physically located at 12 E Harrison St, Farmington MO, 63640-1859. NPI Number 1033115704 has the healthcare provider type.

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1285887448 NPI number is provided on an as is basis without warranty of any kind. 1285887448 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy M. O'bryan Dds, Llc are for informational purposes only.