Individual
DR. RACHEL J TIETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3220 PLAZA DR, SOUTH SIOUX CITY, NE 68776-3160
(402) 494-2144
Mailing address
3220 PLAZA DR, SOUTH SIOUX CITY, NE 68776-3160
(402) 494-2144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6885
NE
Other
Enumeration date
06/21/2010
Last updated
03/23/2015
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