Individual
DR. TIMOTHY R WARISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 MAYFIELD DR, SMYRNA, TN 37167-3017
(615) 459-3366
Mailing address
100 MAYFIELD DR, SMYRNA, TN 37167-3017
(615) 459-3366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS005144
TN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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