Timothy Theobald, D.M.D

NPI #1497156731 in North Chicago, Illinois

Provider Information

NPI Number
1497156731
Entity Type
Individual
Name
Timothy Theobald, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
Sep 5, 2014
Last Updated
Sep 5, 2014

Practice Location

Address
2127 GREEN BAY RD
ZIP Code
60064-2801
Phone
(847) 336-8478

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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