Organization
BRIAN M THIELEN
Active
Other names
Thielen Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN THIELEN DMD (DENTIST)
(715) 582-4571
Entity
Organization
Contact information
Practice address
110 N OGDEN RD, PESHTIGO, WI 54157-1730
(715) 582-4571
(715) 582-4986
Mailing address
110 N OGDEN RD, PESHTIGO, WI 54157-1730
(715) 582-4571
(715) 582-4986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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