Individual
TIMOTHY G DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 479-2748
(541) 479-4701
Mailing address
1212 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 479-2748
(541) 479-4701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4690
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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