Individual
KRISTIAN CLYMER DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1603 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-7300
(479) 715-4277
Mailing address
1603 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-7300
(479) 715-4277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009014596
MO
Other
Enumeration date
07/09/2009
Last updated
04/07/2026
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