Richard L Dietrich, D.M.D.

NPI #1992859920 in Portland, Oregon

Provider Information

NPI Number
1992859920
Entity Type
Individual
Name
Richard L Dietrich, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2250 NW FLANDERS ST
Address 2
SUITE 109
State
Oregon
ZIP Code
97210-3443
Phone
(503) 228-6294

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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