Organization
TIMOTHY J. ITEN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES ITEN D.D.S. (OWNER)
(419) 522-5437
Entity
Organization
Contact information
Practice address
245 STERKEL BLVD, SUITE 101, MANSFIELD, OH 44907-1507
(419) 522-5437
(419) 522-1631
Mailing address
245 STERKEL BLVD, SUITE 101, MANSFIELD, OH 44907-1507
(419) 522-5437
(419) 522-1631
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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