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1134206618
TIMOTHY A PLISKE
BLOOMINGTON, IN
NPI
1134206618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN 12009582)
Enumeration Date
2006-11-01
Last Update Date
2007-07-09
Business Address
Dr. TIMOTHY A PLISKE D.D.S.
2911 E COVENANTER DR SUITE B
BLOOMINGTON, IN 47401-6320
Phone number: 812-333-2614
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Mailing Address
Dr. TIMOTHY A PLISKE D.D.S.
2911 E COVENANTER DR SUITE B
BLOOMINGTON, IN 47401-6320
Phone number: 812-333-2614
Copy
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