Alfred Theis

NPI #1215057385 in Sebastian, Florida

Provider Information

NPI Number: 1215057385
Entity Type: Individual
Name: Alfred Theis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7762 BAY ST
Address 2: 9
City: Sebastian
State: Florida
ZIP Code: 32958-3427
Phone: (772) 388-9700

Specialties & Taxonomy Codes

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

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