DR. Timothy Keith Riesz, D.M.D.

NPI #1962427567 in Venice, Florida

Provider Information

NPI Number: 1962427567
Entity Type: Individual
Name: DR. Timothy Keith Riesz, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 13, 2006
Last Updated: Mar 16, 2011

Practice Location

Address: 4153 TAMIAMI TRL S
Address 2: UNIT B
City: Venice
State: Florida
ZIP Code: 34293-5122
Phone: (650) 703-6802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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