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1699853051
TIMOTHY J ITEN
MANSFIELD, OH
NPI
1699853051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OH 19305)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- TIMOTHY J ITEN D.D.S.
1 MARION AVE STE 201
MANSFIELD, OH 44903-7905
Phone number: 419-522-5437
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Mailing Address
-- TIMOTHY J ITEN D.D.S.
1 MARION AVE STE 201
MANSFIELD, OH 44903-7905
Phone number: 419-522-5437
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