Kristian C. Dietz, Dds, Pllc
NPI #1952723215 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1952723215
- Entity Type
- Organization
- Organization Name
- Kristian C. Dietz, Dds, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 6, 2014
- Last Updated
- Jan 6, 2014
Practice Location
- Address
- 1603 SW REGIONAL AIRPORT BLVD.
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712
- Phone
- (479) 715-4277
Authorized Official
- Name
- DR. KRISTIAN C DIETZ, DDS
- Title
- OWNER DENTIST
- Phone
- (479) 715-4277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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