TIEG BRYANT SELBERG

GLEN CARBON, IL
NPI1831489954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IL  021.002920)
Enumeration Date2011-04-11
Last Update Date2021-12-13
Business Address
TIEG BRYANT SELBERG DDS
116 MAGNOLIA DR
GLEN CARBON, IL 62034-1595
Phone number: 618-288-5437
Mailing Address
TIEG BRYANT SELBERG DDS
5 ABBEY RD
GLEN CARBON, IL 62034-2928
Phone number: 612-203-1034
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