DR. Fred W Dietrich, D.D.S.

NPI #1356358170 in Camden, Arkansas

Provider Information

NPI Number: 1356358170
Entity Type: Individual
Name: DR. Fred W Dietrich, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 206 VAN BUREN ST NW
City: Camden
State: Arkansas
ZIP Code: 71701-3931
Phone: (870) 836-6802

Specialties & Taxonomy Codes

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

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