Individual
DR. TIMOTHY DEPLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3967 S HOWELL AVE, MILWAUKEE, WI 53207-4421
(414) 744-5800
Mailing address
3967 S HOWELL AVE, MILWAUKEE, WI 53207-4421
(414) 744-5800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3398-015
WI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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