Individual
DR. THOMAS S DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1455 S SAWBURG RD, ALLIANCE, OH 44601-3521
(330) 821-4187
Mailing address
1455 S SAWBURG RD, ALLIANCE, OH 44601-3521
(330) 821-4187
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-01-5741
OH
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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