DR. Larry G Tiedje, DDS
NPI #1821046897 in Sioux City, Iowa
Provider Information
- NPI Number
- 1821046897
- Entity Type
- Individual
- Name
- DR. Larry G Tiedje, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 4, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2410 PIERCE ST
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51104-3724
- Phone
- (712) 255-9056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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