DR. Charles W Thie, D.D.S.

NPI #1861488165 in Scott Afb, Illinois

Provider Information

NPI Number
1861488165
Entity Type
Individual
Name
DR. Charles W Thie, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
310 W LOSEY ST
Address 2
375TH DENTAL SQUADRON
ZIP Code
62225-5250
Phone
(618) 256-6667

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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