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1255458154
TIMOTHY LEE GATTEN
POST FALLS, ID
NPI
1255458154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: ID D3925EN)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY LEE GATTEN D.D.S., M.S.D.
602 N. CALGARY CT. SUITE 301
POST FALLS, ID 83854
Phone number: 208-262-2620
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Mailing Address
Dr. TIMOTHY LEE GATTEN D.D.S., M.S.D.
3027 N RADIANT STAR RD
POST FALLS, ID 83854-5099
Phone number: 208-262-2620
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