DR. Theron L. Dikeman III, D.D.S.

NPI #1194735365 in Arlington, Virginia

Provider Information

NPI Number: 1194735365
Entity Type: Individual
Name: DR. Theron L. Dikeman III, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4399 OLD DOMINION DR
City: Arlington
State: Virginia
ZIP Code: 22207-3207
Phone: (703) 525-2350

Specialties & Taxonomy Codes

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

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