Individual
TIMOTHY N. PRAWL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3904 BECK RD, SUITE 110, SAINT JOSEPH, MO 64506-4952
(816) 233-2672
(816) 233-4725
Mailing address
3904 BECK RD, SUITE 110, SAINT JOSEPH, MO 64506-4952
(816) 233-2672
(816) 233-4725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014705
MO
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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