Individual
DR. TIMOTHY C INGRAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 MEETING HOUSE LN, BUILDING 1, SOUTHAMPTON, NY 11968-5087
(631) 204-0202
(631) 204-1772
Mailing address
325 MEETING HOUSE LN, BUILDING 1, SOUTHAMPTON, NY 11968-5087
(631) 204-0202
(631) 204-1772
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
036744
NY
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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