Individual
TIMOTHY MARLIN METTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7505 W DEER VALLEY RD, SUITE 100, PEORIA, AZ 85382-2107
(623) 487-4870
(623) 979-8737
Mailing address
7505 W DEER VALLEY RD, SUITE 100, PEORIA, AZ 85382-2107
(623) 487-4870
(623) 979-8737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ3027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ3027
STATE LICENSE
AZ
01
—
D03027
BODEX
AZ
Enumeration date
05/09/2007
Last updated
03/02/2015
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