Individual
TIMM H. EICKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1515 DIAMOND WALL DR, BERTHOUD, CO 80513-8449
(970) 460-7226
(970) 460-7226
Mailing address
1515 DIAMOND WALL DR, BERTHOUD, CO 80513-8449
(970) 460-7226
(970) 460-7226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10730
CO
Other
Enumeration date
07/04/2006
Last updated
01/20/2015
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