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Individual
NATHAN EDWARD RIECK
Active
Individual
NATHAN EDWARD RIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041333
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437609260
—
PA
Enumeration date
10/05/2016
Last updated
06/11/2020
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