DR. Thomas Leonard Tiedeman, DDS

NPI #1063553410 in Sioux City, Iowa

Provider Information

NPI Number: 1063553410
Entity Type: Individual
Name: DR. Thomas Leonard Tiedeman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2918 HAMILTON BLVD
Address 2: UPPER D SUITE 1
City: Sioux City
State: Iowa
ZIP Code: 51104
Phone: (712) 255-1163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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