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1376616219
FREDERICK LOWELL THIELKE
AUGUSTA, GA
NPI
1376616219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 10249)
Enumeration Date
2006-11-16
Last Update Date
2015-06-08
Business Address
Dr. FREDERICK LOWELL THIELKE DMD
3643 WALTON WAY EXT
AUGUSTA, GA 30909-4507
Phone number: 706-738-7129
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Mailing Address
Dr. FREDERICK LOWELL THIELKE DMD
3643 WALTON WAY EXT
AUGUSTA, GA 30909-4507
Phone number: 706-738-7129
Copy
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