Organization
TIMBERLINE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU ANN ZERGER (OFFICE MANAGER)
(928) 774-4705
Entity
Organization
Contact information
Practice address
518 N BEAVER ST, SUITE A, FLAGSTAFF, AZ 86001-3020
(928) 774-4705
(928) 213-9665
Mailing address
518 N BEAVER ST, SUITE A, FLAGSTAFF, AZ 86001-3020
(928) 774-4705
(928) 213-9665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7686
AZ
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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