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Tim Supin, D.M.D
NPI 1538362256 · on the registry since 2007
Practice
- Address
- 1412 Ne 88th St
Vancouver, WA 98665 - Phone
- (360) 574-4074
- Organisation at this address
- Sea Mar Community Health Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-31
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 Washington