Organization
TIMOTHY G DWYER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY G DWYER DDS (OWNER)
(541) 479-2748
Entity
Organization
Contact information
Practice address
1212 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 479-2748
(541) 479-7401
Mailing address
1212 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 479-2748
(541) 479-7401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4690
OR
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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