Individual
DR. TIMOTHY PATRICK FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4820 W TAFT RD, SUITE 109, LIVERPOOL, NY 13088-2800
(315) 451-6988
Mailing address
4820 W TAFT RD, SUITE 109, LIVERPOOL, NY 13088-2800
(315) 451-6988
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
046281
NY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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