Individual
DR. TIMOTHY MARK STRAIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1405 CENTER AVE, BAY CITY, MI 48708-6109
(989) 893-4381
Mailing address
PO BOX 293, PORT AUSTIN, MI 48467-0293
(989) 738-5681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012718
MI
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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