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1659000289
ADAM TIEFENBRUNN
WASHINGTON, MO
NPI
1659000289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2022020116)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
ADAM TIEFENBRUNN DDS
1515 W 5TH ST
WASHINGTON, MO 63090-1254
Phone number: 636-239-6611
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Mailing Address
ADAM TIEFENBRUNN DDS
533 E 6TH ST
WASHINGTON, MO 63090-2905
Phone number: 314-225-9902
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