Individual
DR. J DEREK TIEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3033 MARINA BAY DR STE 230, LEAGUE CITY, TX 77573-3982
(281) 334-4944
(281) 538-3689
Mailing address
3023 MARINA BAY DR, #105, LEAGUE CITY, TX 77573-2874
(281) 334-4944
(281) 538-3689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16312
TX
Other
Enumeration date
10/05/2006
Last updated
01/21/2025
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