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1881815686
TIMOTHY MARK PENTECOST
EUREKA, CA
NPI
1881815686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA BP36106)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY MARK PENTECOST DDS
2453 BUHNE ST
EUREKA, CA 95501-3206
Phone number: 707-443-7069
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Mailing Address
Dr. TIMOTHY MARK PENTECOST DDS
2453 BUHNE ST
EUREKA, CA 95501-3206
Phone number: 707-443-7069
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