Individual
DR. THOMAS RICHARD BIETSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7333 HELLMAN AVE, RANCHO CUCAMONGA, CA 91730-1302
(909) 987-6205
(909) 987-8342
Mailing address
7333 HELLMAN AVE, RANCHO CUCAMONGA, CA 91730-1302
(909) 987-6205
(909) 987-8342
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
46560
CA
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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