Individual
TIMEA SARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Mailing address
1025 GREENVIEW DR, ELGIN, OK 73538-2368
(815) 514-6756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14027645-9926
UT
Other
Enumeration date
06/12/2024
Last updated
03/24/2026
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