Mark a Riese DDS PC

NPI #1538858501 in Monticello, Indiana

Provider Information

NPI Number
1538858501
Entity Type
Organization
Organization Name
Mark a Riese DDS PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 4, 2023
Last Updated
May 4, 2023

Practice Location

Address
401 W BROADWAY ST
State
Indiana
ZIP Code
47960-2004
Phone
(574) 583-5042

Authorized Official

Name
MARK A RIESE, DDS
Title
DENTIST/OWNER
Phone
(574) 583-5042

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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