Timothy R. Harbolt, Dmd

NPI #1114924933 in Keizer, Oregon

Provider Information

NPI Number: 1114924933
Entity Type: Organization
Organization Name: Timothy R. Harbolt, Dmd
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 7, 2005
Last Updated: Sep 10, 2012

Practice Location

Address: 4734 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4536
Phone: (503) 463-4663

Authorized Official

Name: DR. TIMOTHY R. HARBOLT, D.M.D.
Title: PRESIDENT
Phone: (503) 551-6349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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