Timothy Lars Straka, DDS

NPI #1013130657 in Gurnee, Illinois

Provider Information

NPI Number: 1013130657
Entity Type: Individual
Name: Timothy Lars Straka, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3 S GREENLEAF AVE
Address 2: SUITE L
City: Gurnee
State: Illinois
ZIP Code: 60031
Phone: (847) 360-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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