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1538104088
TIMOTHY J KOOB
MADISON, WI
NPI
1538104088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI 5109)
Enumeration Date
2006-06-18
Last Update Date
2007-07-09
Business Address
-- TIMOTHY J KOOB DDS
5801 RESEARCH PARK BLVD STE 110
MADISON, WI 53719-6002
Phone number: 608-274-0770
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Mailing Address
-- TIMOTHY J KOOB DDS
3146 WAUCHEETA TRL
MADISON, WI 53711-5952
Phone number: 608-222-8093
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