| Timothy M. O'bryan Dds, Llc | |
|
12 E Harrison St Farmington MO 63640-1859 | |
| (573) 756-4344 | |
| Not Available |
| Full Name | Timothy M. O'bryan Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12 E Harrison St, Farmington, Missouri |
| Authorized Official Name and Position | Timothy Michael O'bryan (MANAGER) |
| Authorized Official Contact | 5737564344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M. O'bryan Dds, Llc 12 E Harrison St Farmington MO 63640-1859 Ph: (573) 756-4344 | Timothy M. O'bryan Dds, Llc 12 E Harrison St Farmington MO 63640-1859 Ph: (573) 756-4344 |
| NPI Number | 1285887448 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285887448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2006015354 (Missouri) | Primary |
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