Individual
DR. LORI TIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
642 VAL VISTA ST, SHERIDAN, WY 82801-3659
(307) 672-6917
Mailing address
642 VAL VISTA ST, SHERIDAN, WY 82801-3659
(307) 672-6917
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00203285
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1383
WY
Other
Enumeration date
12/03/2014
Last updated
07/21/2022
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