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1780754960
BRANDON KENNETH TIEK
CARMEL, IN
NPI
1780754960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010566)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. BRANDON KENNETH TIEK DDS
14390 CLAY TERRACE BLVD SUITE 249
CARMEL, IN 46032-3627
Phone number: 317-815-9800
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Mailing Address
Dr. BRANDON KENNETH TIEK DDS
14390 CLAY TERRACE BLVD SUITE 249
CARMEL, IN 46032-3627
Phone number: 317-815-9800
Copy
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