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Individual
DR. TIMOTHY JAMES KOLL
Active
Individual
DR. TIMOTHY JAMES KOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4243
WI
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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