Individual
DR. TIMOTHY IMAFIDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 S CENTER ST, GOLDSBORO PEDIATRIC DENTISTRY & ORTHODONTICS, GOLDSBORO, NC 27530-4807
(919) 947-0800
Mailing address
300 S CENTER ST, GOLDSBORO PEDIATRIC DENTISTRY & ORTHODONTICS, GOLDSBORO, NC 27530-4807
(919) 947-0800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401413568
VA
1223P0221X
Pediatric Dentistry
Primary
10244
NC
Other
Enumeration date
08/25/2010
Last updated
04/30/2017
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