TIM MICAH SUPIN

VANCOUVER, WA
NPI1538362256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE00010813)
Enumeration Date2007-06-08
Last Update Date2013-07-31
Business Address
Dr. TIM MICAH SUPIN D.M.D.
1412 NE 88TH ST
VANCOUVER, WA 98665-9620
Phone number: 360-574-4074
Mailing Address
Dr. TIM MICAH SUPIN D.M.D.
1412 NE 88TH ST
VANCOUVER, WA 98665-9620
Phone number:
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