Organization
TERRY R RIECK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY RAE RIECK DDS (PRESIDENT)
(515) 255-1195
Entity
Organization
Contact information
Practice address
4019 INGERSOLL AVE, DES MOINES, IA 50312-2710
(515) 255-1195
(515) 255-1195
Mailing address
4019 INGERSOLL AVE, DES MOINES, IA 50312-2710
(515) 255-1195
(515) 255-1195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7887
IA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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