Organization
GREGORY C. THIEL, DDS, PLLC
Active
Other names
Thiel Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C THIEL DDS (OWNER.)
(512) 892-0013
Entity
Organization
Contact information
Practice address
3775 S. CAPITAL OF TEXAS HWY., SUITE 292, AUSTIN, TX 78704-7908
(512) 892-0013
(512) 892-3359
Mailing address
3775 S. CAPITAL OF TEXAS HWY., SUITE 292, AUSTIN, TX 78704-7908
(512) 892-0013
(512) 892-3359
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165426102
—
TX
Enumeration date
04/03/2012
Last updated
04/03/2012
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