Organization · Type 2 NPI

Timothy O Imafidon JR DDS PA

Dental Clinic/Center · Goldsboro, NC

NPI number 1720521982 Active

About NPI 1720521982

Timothy O Imafidon JR DDS PA's National Provider Identifier is 1720521982, issued on Nov 21, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Goldsboro, NC. The record was last updated on Nov 21, 2016.