TIMOTHY J KOOB

MADISON, WI
NPI1538104088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  5109)
Enumeration Date2006-06-18
Last Update Date2007-07-09
Business Address
-- TIMOTHY J KOOB DDS
5801 RESEARCH PARK BLVD STE 110
MADISON, WI 53719-6002
Phone number: 608-274-0770
Mailing Address
-- TIMOTHY J KOOB DDS
3146 WAUCHEETA TRL
MADISON, WI 53711-5952
Phone number: 608-222-8093