Individual
DR. TIMOTHY NOEL TANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
19221 SE 34TH STREET, CAMAS, WA 98607
(360) 882-9595
Mailing address
11405 SW IRONWOOD LOOP, TIGARD, OR 97223-4231
(503) 869-7350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE009820
WA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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