Individual
TIM LAWRENCE OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1015 SO 40TH AVE, SUITE 15, YAKIMA, WA 98908-3867
(509) 966-0660
(905) 965-0417
Mailing address
1015 SO 40TH AVE, SUITE 15, YAKIMA, WA 98908-3867
(509) 966-0660
(905) 965-0417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4241
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5391404
—
WA
Enumeration date
02/12/2007
Last updated
07/08/2007
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