Dietrich & Associates Oral and Maxillofacial Surgery, Inc.

NPI #1528153533 in Canton, Ohio

Provider Information

NPI Number
1528153533
Entity Type
Organization
Organization Name
Dietrich & Associates Oral and Maxillofacial Surgery, Inc.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 4, 2006
Last Updated
Jan 24, 2020

Practice Location

Address
4774 MUNSON ST NW
Address 2
SUITE 102
City
Canton
State
Ohio
ZIP Code
44718
Phone
(330) 494-6653

Authorized Official

Name
THOMAS JOSEPH DIETRICH, DDS, MD
Title
OWNER/PRESIDENT
Phone
(330) 494-6653

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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