DR. Randel Gene Dietze, D.D.S.
NPI #1457579666 in Oconto Falls, Wisconsin
Provider Information
- NPI Number
- 1457579666
- Entity Type
- Individual
- Name
- DR. Randel Gene Dietze, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 256 N MAIN ST
- City
- Oconto Falls
- State
- Wisconsin
- ZIP Code
- 54154-1047
- Phone
- (920) 846-3841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
| Provider Name | |
|---|---|
| Oconto Falls Dental LLC |
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