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1366654030
TIMOTHY D WILEY
RICHMOND, KY
NPI
1366654030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 6239)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY D WILEY DMD
1001 GIBSON BAY DRIVE SUITE 202
RICHMOND, KY 40475
Phone number: 859-625-0204
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Mailing Address
Dr. TIMOTHY D WILEY DMD
403 HACKETT PIKE
RICHMOND, KY 40475-9386
Phone number: 859-624-0419
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