Individual
DR. TIMOTHY JAMES KOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2410 E. EVERGREEN DR., APPLETON, WI 54913-4913
(920) 832-9500
(920) 832-9490
Mailing address
2410 E. EVERGREEN DR., APPLETON, WI 54913-4913
(920) 832-9500
(920) 832-9490
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4243
WI
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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