NPI | 1134489818 |
---|---|
Doing Business As | TIEDEMAN AND LOHR FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JULIE ANN LOHR Owner/Dentist 712-255-1163 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-05-29 |
Last Update Date | 2012-05-29 |