Individual
DR. TIMOTHY PAUL DE STIGTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
216 MAIN STREET, AURELIA, IA 51005-0037
(712) 434-2023
Mailing address
216 MAIN STREET, AURELIA, IA 51005-0037
(712) 434-2023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198291
—
IA
Enumeration date
05/04/2006
Last updated
07/08/2007
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