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1285786194
TIMOTHY WALTER PENBERTHY
COEUR D ALENE, ID
NPI
1285786194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: ID D-1930-EN)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY WALTER PENBERTHY D.D.S.
509 W HANLEY AVE SUITE # 2
COEUR D ALENE, ID 83815-8994
Phone number: 208-664-8622
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Mailing Address
Dr. TIMOTHY WALTER PENBERTHY D.D.S.
509 W HANLEY AVE SUITE # 2
COEUR D ALENE, ID 83815-8994
Phone number: 208-664-8622
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