LARRY G TIEDJE

SIOUX CITY, IA
NPI1821046897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  05957)
Enumeration Date2006-05-04
Last Update Date2007-07-09
Business Address
Dr. LARRY G TIEDJE DDS
2410 PIERCE ST
SIOUX CITY, IA 51104-3724
Phone number: 712-255-9056
Mailing Address
Dr. LARRY G TIEDJE DDS
2006 PEACHTREE CT
SIOUX CITY, IA 51104-1747
Phone number: 712-252-4013
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