RYAN WILLIAM TIETZ

HUDSON, WI
NPI1760471643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  6128-015)
Additional Taxonomies122300000X Dentist
(Licence: MN  D11962)
Enumeration Date2005-10-13
Last Update Date2009-09-15
Business Address
Dr. RYAN WILLIAM TIETZ D.D.S.
744 RYAN DR
HUDSON, WI 54016-7979
Phone number: 715-386-5400
Mailing Address
Dr. RYAN WILLIAM TIETZ D.D.S.
444 WHITETAIL PASS
HUDSON, WI 54016-7748
Phone number: 715-808-0404
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