# DR.PETER TIMM \#1, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** One Brilliant Dental of Katy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013580141
- **Authorized official:** DR. PETER TIMM DDS (OWNER/DENTIST)
- **Authorized official phone:** (281) 720-8090

## Contact information

- **Practice address:** 2300 S MASON RD STE 104, KATY, TX 77450-6268
- **Practice address phone:** (281) 720-8090
- **Practice address fax:** (281) 720-8091
- **Mailing address:** 2300 S MASON RD STE 104, KATY, TX 77450-6268
- **Mailing address phone:** (281) 720-8090
- **Mailing address fax:** (281) 720-8091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2021
- **Last updated:** 07/16/2021