Individual
TIMOTHY RESTREPO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5501 BARTEL RD, BREWERTON, NY 13029-8701
(716) 804-1591
Mailing address
5501 BARTEL RD, BREWERTON, NY 13029-8701
(716) 804-1591
(716) 804-1591
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0455441
NY
Other
Enumeration date
04/10/2014
Last updated
11/15/2023
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