Individual
DR. TIMOTHY HUGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
190 GARDNER AVE, BURLINGTON, WI 53105-2160
(262) 763-7121
(262) 763-0295
Mailing address
190 GARDNER AVE, BURLINGTON, WI 53105-2160
(262) 763-7121
(262) 763-0295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3362
WI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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