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Mark A Riese Dds Pc
Dental Clinic/Center in Monticello, Indiana
NPI 1538858501

Mark A Riese Dds Pc is a Dental Clinic/Center based in Monticello, IN and is specialized in Dental. Mark A Riese Dds Pc practices in Monticello, IN. The NPI Number for Mark A Riese Dds Pc is 1538858501 and holds a License No. (Indiana).

The current practice location address for Mark A Riese Dds Pc is 401 W Broadway St, Monticello, IN and can be reached out via phone at 574-583-5042.

Location: 401 W Broadway St, Monticello, IN, 47960-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538858501
Provider Name
Mark A Riese Dds Pc
Credential
Provider Entity Type
Organization
Address
401 W Broadway St, Monticello, IN, 47960-2004
Phone Number
574-583-5042
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
401 W Broadway St
City
Monticello
State
Indiana
Zip
47960-2004
Phone Number
574-583-5042
Fax Number
person
Provider Business Mailing Address Details
Address
401 W Broadway St
City
Monticello
State
Indiana
Zip
47960-2004
Phone Number
574-583-5042
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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