DR. Timothy James Bouressa, D.D.S.

NPI #1922296466 in Kimberly, Wisconsin

Provider Information

NPI Number
1922296466
Entity Type
Individual
Name
DR. Timothy James Bouressa, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 10, 2007
Last Updated
Oct 10, 2007

Practice Location

Address
500 W 3RD ST
Address 2
POB 96
ZIP Code
54136-1305
Phone
(920) 788-4201

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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