Individual
DR. TIMOTHY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
13410 HIGHWAY 99 STE 102, EVERETT, WA 98204-5454
(425) 743-0201
(425) 743-4799
Mailing address
13410 HIGHWAY 99 STE 102, EVERETT, WA 98204-5454
(425) 743-0201
(425) 743-4799
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5757
WA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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