DR. Ryan William Tietz, D.D.S.

NPI #1760471643 in Hudson, Wisconsin

Provider Information

NPI Number: 1760471643
Entity Type: Individual
Name: DR. Ryan William Tietz, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 13, 2005
Last Updated: Sep 15, 2009

Practice Location

Address: 744 RYAN DR
City: Hudson
State: Wisconsin
ZIP Code: 54016-7979
Phone: (715) 386-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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