DR. Timothy Michael Wahl, D.M.D.

NPI #1619972668 in Merritt Island, Florida

Provider Information

NPI Number: 1619972668
Entity Type: Individual
Name: DR. Timothy Michael Wahl, D.M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - Periodontics
Credential: D.M.D.
Enumeration Date: Jun 16, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 190 S SYKES CREEK PKWY
Address 2: STE 2
City: Merritt Island
State: Florida
ZIP Code: 32952-3572
Phone: (321) 459-0154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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