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1528127024
CRAIG CARL THIEDE
TUSTIN, CA
NPI
1528127024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 40892)
Enumeration Date
2006-12-08
Last Update Date
2022-03-15
Business Address
CRAIG CARL THIEDE D.D.S.
13522 NEWPORT AVE STE 109
TUSTIN, CA 92780-3707
Phone number: 714-730-6767
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Mailing Address
CRAIG CARL THIEDE D.D.S.
13522 NEWPORT AVE STE 109
TUSTIN, CA 92780-3707
Phone number: 714-730-6767
Copy
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