Individual
DR. TIMOTHY PAUL DEAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2286 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140
(617) 868-4046
(617) 868-5375
Mailing address
2286 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140
(617) 868-4046
(617) 868-5375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16574
MA
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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