Individual
DR. TIMOTHY DEAN IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
699 5TH ST W, SONOMA, CA 95476-6830
(707) 935-6878
(707) 935-6811
Mailing address
699 5TH ST W, SONOMA, CA 95476-6830
(707) 935-6878
(707) 935-6811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38544
CA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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