Individual
DR. TIM J RIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
122300000X
Dentist
Primary
13681
MO
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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