Thielen Dental LLC

NPI #1649018417 in Laveen, Arizona

Provider Information

NPI Number: 1649018417
Entity Type: Organization
Organization Name: Thielen Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 5911 W BASELINE RD STE B-100
City: Laveen
State: Arizona
ZIP Code: 85339-2810
Phone: (602) 281-1172

Authorized Official

Name: VALERIE HAMILTON
Title: DIRECTOR, PAYOR STRATEGY
Phone: (315) 410-5531

Specialties & Taxonomy Codes

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

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