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Tim Bouquet
NPI 1508439290 · on the registry since 2021
Practice
- Address
- 1008 12th St Se
Rochester, MN 55904 - Phone
- (507) 282-6448
- Organisation at this address
- 12th Street Dental Office Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota