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1154403194
TIMOTHY JAMES KOLL
APPLETON, WI
NPI
1154403194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: WI 4243)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY JAMES KOLL D.D.S.
2410 E. EVERGREEN DR.
APPLETON, WI 54913-4913
Phone number: 920-832-9500
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Mailing Address
Dr. TIMOTHY JAMES KOLL D.D.S.
2410 E. EVERGREEN DR.
APPLETON, WI 54913-4913
Phone number: 920-832-9500
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