Individual
DR. TERRY RAE RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2815 BEAVER AVE, SUITE 110, DES MOINES, IA 50310-4063
(515) 255-1195
Mailing address
2815 BEAVER AVE, SUITE 110, DES MOINES, IA 50310-4063
(515) 255-1195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7887
IA
Other
Enumeration date
04/06/2006
Last updated
11/18/2008
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