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1225173172
RONALD G. THEISS
NACOGDOCHES, TX
NPI
1225173172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15459)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Dr. RONALD G. THEISS DDS, MAGD
1302 RAGUET
NACOGDOCHES, TX 75965
Phone number: 936-564-7240
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Mailing Address
Dr. RONALD G. THEISS DDS, MAGD
PO BOX 632897
NACOGDOCHES, TX 75963-2897
Phone number: 936-564-7240
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