CRAIG CARL THIEDE

TUSTIN, CA
NPI1528127024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  40892)
Enumeration Date2006-12-08
Last Update Date2022-03-15
Business Address
CRAIG CARL THIEDE D.D.S.
13522 NEWPORT AVE STE 109
TUSTIN, CA 92780-3707
Phone number: 714-730-6767
Mailing Address
CRAIG CARL THIEDE D.D.S.
13522 NEWPORT AVE STE 109
TUSTIN, CA 92780-3707
Phone number: 714-730-6767