Individual
DR. TIMOTHY JOHN KAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
303 W 89TH AVE STE E2, MERRILLVILLE, IN 46410-6295
(219) 755-0045
Mailing address
303 W 89TH AVE STE E2, MERRILLVILLE, IN 46410-6295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012556A
IN
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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