Individual
DR. FREDERICK LOWELL THIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 738-7129
(706) 738-6684
Mailing address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 738-7129
(706) 738-6684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10249
GA
Other
Enumeration date
11/16/2006
Last updated
06/08/2015
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