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
ZIP Code
54154-1047
Phone
(920) 846-3841

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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