DR. Timothy John Edvalson, D.M.D.

NPI #1205821154 in Lake Oswego, Oregon

Provider Information

NPI Number
1205821154
Entity Type
Individual
Name
DR. Timothy John Edvalson, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Sep 16, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
3900 DOUGLAS WAY
State
Oregon
ZIP Code
97035-3446
Phone
(503) 636-8446

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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