Individual
DR. NIKOLAS KENNETH DIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
668 E 12225 S STE 101, DRAPER, UT 84020-7310
(801) 762-8920
Mailing address
7115 S 2155 E, COTTONWOOD HEIGHTS, UT 84121-3832
(801) 931-8322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13909577-9923
UT
Other
Enumeration date
04/17/2024
Last updated
07/22/2025
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