Individual
DR. TIMOTHY GORDON CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4300 HOLLY HILLS BLVD, SAINT LOUIS, MO 63116-2253
(314) 351-5555
(314) 351-5257
Mailing address
4300 HOLLY HILLS BLVD, SAINT LOUIS, MO 63116-2253
(314) 351-5555
(314) 351-5257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO14638
MO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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