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Individual
DR. TIMOTHY MICHAEL WAHL
Active
Individual
DR. TIMOTHY MICHAEL WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN9499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN9499
STATE DENTAL LICENSE
FL
Enumeration date
06/16/2005
Last updated
07/13/2026
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