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1386693984
TIMOTHY ALAN JENNESS
BROOKFIELD, WI
NPI
1386693984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 2314)
Enumeration Date
2006-05-09
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY ALAN JENNESS D.D.S.
4040 N CALHOUN RD
BROOKFIELD, WI 53005-1336
Phone number: 262-781-8927
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Mailing Address
Dr. TIMOTHY ALAN JENNESS D.D.S.
W184S6668 JEWEL CREST DR
MUSKEGO, WI 53150-8503
Phone number: 262-853-8927
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