DR. Albert A. Diepstra, D.D.S.
NPI #1356518179 in La Grange Park, Illinois
Provider Information
- NPI Number
- 1356518179
- Entity Type
- Individual
- Name
- DR. Albert A. Diepstra, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 12, 2008
- Last Updated
- May 12, 2008
Practice Location
- Address
- 342 SHERWOOD RD
- City
- La Grange Park
- State
- Illinois
- ZIP Code
- 60526-1967
- Phone
- (708) 482-4610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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