Individual
DR. RONALD GENE TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7700 BROADWAY ST STE 100B, SAN ANTONIO, TX 78209-3260
(210) 824-2333
(210) 824-0680
Mailing address
7700 BROADWAY ST STE 100B, SAN ANTONIO, TX 78209-3260
(210) 824-2333
(210) 824-0680
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9396
TX
Other
Enumeration date
09/21/2006
Last updated
01/29/2009
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