TIMOTHY WAYNE WHITAKER

BOWLING GREEN, KY
NPI1184742405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  4903)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY WAYNE WHITAKER DMD
1602 WESTEN ST
BOWLING GREEN, KY 42104-4156
Phone number: 270-781-1706
Mailing Address
Dr. TIMOTHY WAYNE WHITAKER DMD
109 TALBOTT DR
BOWLING GREEN, KY 42103-1369
Phone number: 270-843-6314
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