DR. J Derek Tieken, D.D.S.
NPI #1164518007 in League City, Texas
Provider Information
- NPI Number
- 1164518007
- Entity Type
- Individual
- Name
- DR. J Derek Tieken, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 3033 MARINA BAY DR STE 230
- City
- League City
- State
- Texas
- ZIP Code
- 77573-3982
- Phone
- (281) 334-4944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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