Timothy P Bashford DDS PC

NPI #1063702512 in Deerfield, Illinois

Provider Information

NPI Number
1063702512
Entity Type
Organization
Organization Name
Timothy P Bashford DDS PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 18, 2011
Last Updated
Apr 18, 2011

Practice Location

Address
400 LAKE COOK RD
ZIP Code
60015-5607
Phone
(847) 256-9507

Authorized Official

Name
DR. TIMOTHY PATRICK BASHFORD, DDS
Title
OWNER
Phone
(847) 256-9507

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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