Organization
ANDREW J. DIETZ, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J. DIETZ DDS (OWNER)
(856) 547-8664
Entity
Organization
Contact information
Practice address
17 WHITE HORSE PIKE, SUITE 8, HADDON HEIGHTS, NJ 08035-1299
(856) 547-8664
(856) 547-5560
Mailing address
17 WHITE HORSE PIKE, SUITE 8, HADDON HEIGHTS, NJ 08035-1299
(856) 547-8664
(856) 547-5560
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI01814600
NJ
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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