Individual
PENELOPE L DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6023 E MAIN ST, COLUMBUS, OH 43213
(614) 864-6000
(614) 864-9250
Mailing address
655 BRIGGS ST, COLUMBUS, OH 43206-1332
(614) 464-3525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16899
OH
Other
Enumeration date
01/19/2007
Last updated
03/09/2020
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