DR. Brian M Thielen, DMD

NPI #1104972033 in Green Bay, Wisconsin

Provider Information

NPI Number
1104972033
Entity Type
Individual
Name
DR. Brian M Thielen, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1543 PARK PL
Address 2
SUITE 300
ZIP Code
54304-1970
Phone
(920) 405-3600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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