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Individual

JANICE TIMOTHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
900 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-4529
Mailing address
1049 SANDY GROVE PL, LELAND, NC 28451-9489
(228) 365-6998

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2604
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9562
NC

Other

Enumeration date
05/04/2006
Last updated
09/09/2014
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