DR. Jeremey J Thietten, D.D.S.

NPI #1679743082 in Lakeview, Michigan

Provider Information

NPI Number: 1679743082
Entity Type: Individual
Name: DR. Jeremey J Thietten, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 3, 2008
Last Updated: Apr 3, 2009

Practice Location

Address: 924 S LINCOLN AVE
City: Lakeview
State: Michigan
ZIP Code: 48850-9174
Phone: (989) 352-6477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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