GREGORY H. TIETZER

CHICAGO, IL
NPI1922148378
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019019206)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
Dr. GREGORY H. TIETZER D.D.S.
3318 W FOSTER AVE
CHICAGO, IL 60625-4813
Phone number: 773-463-8860
Mailing Address
Dr. GREGORY H. TIETZER D.D.S.
3318 W FOSTER AVE
CHICAGO, IL 60625-4813
Phone number: 773-463-8860
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