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Timothy P Bashford Dds Pc
Dental Clinic/Center in Deerfield, Illinois
NPI 1063702512

Timothy P Bashford Dds Pc is a Dental Clinic/Center based in Northfield, IL and is specialized in Dental. Timothy P Bashford Dds Pc practices in Deerfield, IL. The NPI Number for Timothy P Bashford Dds Pc is 1063702512 and holds a License No. 019017695 (Illinois).

The current practice location address for Timothy P Bashford Dds Pc is 400 Lake Cook Rd, Deerfield, IL and can be reached out via phone at 847-256-9507 and via fax at 847-256-9750.

Location: 400 Lake Cook Rd, Deerfield, IL, 60093-8347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063702512
Provider Name
Timothy P Bashford Dds Pc
Credential
Provider Entity Type
Organization
Address
400 Lake Cook Rd, Deerfield, IL, 60093-8347
Phone Number
847-256-9507
Fax Number
847-256-9750
Provider Enumeration Date
04/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Lake Cook Rd
City
Deerfield
State
Illinois
Zip
60015-5607
Phone Number
847-256-9507
Fax Number
847-256-9750
person
Provider Business Mailing Address Details
Address
400 Lake Cook Rd
City
Deerfield
State
Illinois
Zip
60015-5607
Phone Number
847-256-9507
Fax Number
847-256-9750
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019017695 (Illinois)
Definition
Definition to come...
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