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1770540866
TIMOTHY JAY ICENHOWER
PLANO, TX
NPI
1770540866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 17200)
Enumeration Date
2006-05-01
Last Update Date
2021-09-14
Business Address
Dr. TIMOTHY JAY ICENHOWER D.D.S.
3401 CUSTER RD STE 102
PLANO, TX 75023-7546
Phone number: 469-543-0335
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Mailing Address
Dr. TIMOTHY JAY ICENHOWER D.D.S.
3401 CUSTER RD STE 102
PLANO, TX 75023-7546
Phone number: 469-543-0335
Copy
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