TIMOTHY ALAN SMITH

SANDY, OR
NPI1699933424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-671615)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
-- TIMOTHY ALAN SMITH CD
38565 PROCTOR BLVD
SANDY, OR 97055-0744
Phone number: 503-668-8914
Mailing Address
-- TIMOTHY ALAN SMITH CD
PO BOX 744
SANDY, OR 97055-0744
Phone number: 503-668-8914