Individual
TIMOTHY R KINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7001 OLD SAUK RD, #200, MADISON, WI 53717-2308
(608) 833-6545
(608) 833-8516
Mailing address
7001 OLD SAUK RD, #200, MADISON, WI 53717-2308
(608) 833-6545
(608) 833-8516
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3347
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33473700
—
WI
Enumeration date
10/16/2006
Last updated
07/08/2007
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