FREDERICK LOWELL THIELKE

AUGUSTA, GA
NPI1376616219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  10249)
Enumeration Date2006-11-16
Last Update Date2015-06-08
Business Address
Dr. FREDERICK LOWELL THIELKE DMD
3643 WALTON WAY EXT
AUGUSTA, GA 30909-4507
Phone number: 706-738-7129
Mailing Address
Dr. FREDERICK LOWELL THIELKE DMD
3643 WALTON WAY EXT
AUGUSTA, GA 30909-4507
Phone number: 706-738-7129