DR. Kelli Danielle Thiele, D.M.D

NPI #1982042081 in Angola, Indiana

Provider Information

NPI Number
1982042081
Entity Type
Individual
Name
DR. Kelli Danielle Thiele, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Jun 11, 2013
Last Updated
Sep 18, 2013

Practice Location

Address
205 E HARCOURT RD
City
Angola
State
Indiana
ZIP Code
46703-7131
Phone
(260) 665-5767

Specialties & Taxonomy Codes

Specialty
Dentist

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