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1407134679
TIMOTHY CARL PAVENTY
FORNEY, TX
NPI
1407134679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 27212)
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
Dr. TIMOTHY CARL PAVENTY DMD
992 E US HIGHWAY 80 STE A
FORNEY, TX 75126-8707
Phone number: 702-541-5179
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Mailing Address
Dr. TIMOTHY CARL PAVENTY DMD
2936 YALE DR
FLOWER MOUND, TX 75022-4886
Phone number: 702-541-5179
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