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1063553410
THOMAS LEONARD TIEDEMAN
SIOUX CITY, IA
NPI
1063553410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 05944)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Dr. THOMAS LEONARD TIEDEMAN DDS
2918 HAMILTON BLVD UPPER D SUITE 1
SIOUX CITY, IA 51104
Phone number: 712-255-1163
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Mailing Address
Dr. THOMAS LEONARD TIEDEMAN DDS
2918 HAMILTON BLVD UPPER D SUITE 1
SIOUX CITY, IA 51104
Phone number: 712-255-1163
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