Timothy I. Dillivan, D.D.S.

NPI #1275614547 in Muskegon, Michigan

Provider Information

NPI Number
1275614547
Entity Type
Individual
Name
Timothy I. Dillivan, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3535 PARK ST STE 102
ZIP Code
49444-3736
Phone
(231) 739-2152

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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