Individual
MARGARET J THIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3501 SOUTH GARY, FORT SMITH, AR 72903
(479) 646-0913
(479) 646-8844
Mailing address
3501 GARY ST, FORT SMITH, AR 72903-5927
(479) 646-0913
(479) 646-8844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AR2906
AR
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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