J DEREK TIEKEN

LEAGUE CITY, TX
NPI1164518007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  16312)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Dr. J DEREK TIEKEN D.D.S.
3023 MARINA BAY DR #105
LEAGUE CITY, TX 77573-2874
Phone number: 281-334-4944
Mailing Address
Dr. J DEREK TIEKEN D.D.S.
3023 MARINA BAY DR #105
LEAGUE CITY, TX 77573-2874
Phone number: 281-334-4944