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1053532457
TIMOTHY G DWYER
GRANTS PASS, OR
NPI
1053532457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR d4690)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- TIMOTHY G DWYER DDS
1212 NE 7TH ST
GRANTS PASS, OR 97526-1424
Phone number: 541-479-2748
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Mailing Address
-- TIMOTHY G DWYER DDS
1212 NE 7TH ST
GRANTS PASS, OR 97526-1424
Phone number: 541-479-2748
Copy
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