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Organization
TIMOTHY B.DOTSON D.D.S., PC
Active
Organization
TIMOTHY B.DOTSON D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B. DOTSON D.D.S. (OWNER/DENTIST)
(773) 528-3384
Entity
Organization
Contact information
Practice address
2155 W ROSCOE ST STE 1N, CHICAGO, IL 60618-6261
(773) 528-3384
(773) 528-3604
Mailing address
2155 WEST ROSCOE STREET, 1N, CHICAGO, IL 60618
(773) 528-3384
(773) 528-3604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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