DR. Kenneth Frederick Tiseo, DDS

NPI #1194779272 in Caro, Michigan

Provider Information

NPI Number
1194779272
Entity Type
Individual
Name
DR. Kenneth Frederick Tiseo, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
204 W SHERMAN ST
City
Caro
ZIP Code
48723-1534
Phone
(989) 673-2939

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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