Individual
DR. TIMOTHY ALLEN HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
333 N PETERS AVE, FOND DU LAC, WI 54935-8257
(920) 922-7720
Mailing address
333 N PETERS AVE, FOND DU LAC, WI 54935-8257
(920) 922-7720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3345
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33469100
—
WI
Enumeration date
07/18/2007
Last updated
07/18/2007
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