Timothy J Elliott, DMD

NPI #1932428794 in Portland, Oregon

Provider Information

NPI Number
1932428794
Entity Type
Individual
Name
Timothy J Elliott, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
May 19, 2010
Last Updated
May 19, 2010

Practice Location

Address
202 NE 181ST AVE
Address 2
SUITE A
State
Oregon
ZIP Code
97230-6664
Phone
(503) 661-6111

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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