Individual
DR. DAMON JAMES THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 280-2337
Mailing address
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 280-2337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6864-15
WI
1223P0221X
Pediatric Dentistry
D0982
SD
Other
Enumeration date
04/29/2012
Last updated
05/31/2013
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