DR. Richard David Dietz, D.D.S.

NPI #1083829782 in Urbana, Ohio

Provider Information

NPI Number: 1083829782
Entity Type: Individual
Name: DR. Richard David Dietz, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 314 PATRICK AVE
City: Urbana
State: Ohio
ZIP Code: 43078-2339
Phone: (937) 653-5359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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