DR. Theodora Kalonaros Dietrich, D.D.S.
NPI #1144435090 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1144435090
- Entity Type
- Individual
- Name
- DR. Theodora Kalonaros Dietrich, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- May 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17178 TOLEDO BLADE BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33954-2626
- Phone
- (941) 625-7877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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