Organization
TIM RIEKE DDS LLC
Active
Parent organization
TIM RIEKE DDS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIM RIEKE DDS LLC
Authorized official
DR. TIM J RIEKE DDS (MEMBER)
(573) 634-3115
Entity
Organization
Contact information
Practice address
1312 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109
(573) 634-3115
(573) 634-2381
Mailing address
1312 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109
(573) 634-3115
(573) 634-2381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013681
MO
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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