DR. Timothy Joseph Brouder, D.D.S.

NPI #1790824167 in Mt Prospect, Illinois

Provider Information

NPI Number: 1790824167
Entity Type: Individual
Name: DR. Timothy Joseph Brouder, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 207 S EMERSON ST
City: Mt Prospect
State: Illinois
ZIP Code: 60056-3259
Phone: (847) 577-0199

Specialties & Taxonomy Codes

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

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