Individual
DR. TIMOTHY CHARLES BAGGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3365 S 103RD ST, SUITE 220, MILWAUKEE, WI 53227-4161
(414) 543-9911
Mailing address
3365 S 103RD ST, SUITE 220, MILWAUKEE, WI 53227-4161
(414) 543-9911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6526-15
WI
Other
Enumeration date
05/24/2010
Last updated
06/05/2010
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