Organization
TIMM FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W TIMM DMD (OWNER)
(541) 382-1991
Entity
Organization
Contact information
Practice address
375 NE EMERSON AVE, BEND, OR 97701-4938
(541) 382-1991
(541) 330-9095
Mailing address
375 NE EMERSON AVE, BEND, OR 97701-4938
(541) 382-1991
(541) 330-9095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5817
OR
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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