Individual
DR. MARK ANDREW RIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
706 N MAIN ST, MONTICELLO, IN 47960-1712
(574) 583-2661
(574) 583-0035
Mailing address
706 N MAIN ST, MONTICELLO, IN 47960-1712
(574) 583-2661
(574) 583-0035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009808
IN
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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