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Individual
DR. DAVID MITCHELL THIELEN
Active
Individual
DR. DAVID MITCHELL THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1707
WY
1223G0001X
General Practice Dentistry
DDS-09938
IA
390200000X
Student in an Organized Health Care Education/Training Program
RES-30593
IA
Other
Enumeration date
06/25/2020
Last updated
12/04/2025
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