Kaitlin Renee Deidrick

NPI #1033811922 in Plantation, Florida

Provider Information

NPI Number
1033811922
Entity Type
Individual
Name
Kaitlin Renee Deidrick
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 21, 2023
Last Updated
Sep 4, 2024

Practice Location

Address
4100 S HOSPITAL DR STE 205
State
Florida
ZIP Code
33317-2837
Phone
(954) 731-7030

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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