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Individual
DR. ABIGAIL ANN DIERKING
Active
Individual
DR. ABIGAIL ANN DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10375
KY
122300000X
Dentist
12011203A
IN
122300000X
Dentist
2901019890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315037627
LICENSE
MI
Enumeration date
09/15/2008
Last updated
03/24/2020
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