Individual
DR. TIMOTHY LEE GATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
602 N. CALGARY CT., SUITE 301, POST FALLS, ID 83854
(208) 262-2620
Mailing address
3027 N RADIANT STAR RD, POST FALLS, ID 83854-5099
(208) 262-2620
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D3925EN
ID
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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