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Individual
DR. KIM E DIEFENDERFER
Active
Individual
DR. KIM E DIEFENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012261A
IN
1223G0001X
General Practice Dentistry
Primary
DS027331L
PA
Other
Enumeration date
02/08/2006
Last updated
11/08/2021
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