Dietrich Dental Services PA
NPI #1003185240 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1003185240
- Entity Type
- Organization
- Organization Name
- Dietrich Dental Services PA
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 16, 2011
- Last Updated
- Dec 16, 2011
Practice Location
- Address
- 17178 TOLEDO BLADE BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33954-2626
- Phone
- (941) 625-7877
Authorized Official
- Name
- DR. JOHN LOUIS DIETRICH, DDS
- Title
- PRESIDENT
- Phone
- (941) 625-7877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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