Individual
DR. DUSTIN WADE TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1215 W GATE DR STE 180, LELAND, NC 28451-0437
(910) 663-1223
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
(910) 663-1223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13522
NC
Other
Enumeration date
04/27/2018
Last updated
07/30/2024
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