Individual
DR. TODD TREVOR TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4400 BAYOU BLVD, SUITE #44A, PENSACOLA, FL 32503-2673
(850) 474-3854
(850) 476-8290
Mailing address
4400 BAYOU BLVD, SUITE #44A, PENSACOLA, FL 32503-2673
(850) 474-3854
(850) 476-8290
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018-001557
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 17106
FL
Other
Enumeration date
06/12/2008
Last updated
05/02/2009
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