DR. Mark Andrew Riese, DDS

NPI #1043230782 in Monticello, Indiana

Provider Information

NPI Number
1043230782
Entity Type
Individual
Name
DR. Mark Andrew Riese, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
706 N MAIN ST
State
Indiana
ZIP Code
47960-1712
Phone
(574) 583-2661

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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