Individual
ALFRED THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7762 BAY ST, 9, SEBASTIAN, FL 32958-3427
(772) 388-9700
Mailing address
7762 BAY ST, 9, SEBASTIAN, FL 32958-3427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7021
FL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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