Individual
DR. STACIE L DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1663 VIRGINIA AVE STE 210, HARRISONBURG, VA 22802-8312
(540) 442-9100
(540) 442-9096
Mailing address
1663 VIRGINIA AVE STE 210, HARRISONBURG, VA 22802-8312
(540) 442-9100
(540) 442-9096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410441
VA
Other
Enumeration date
11/29/2006
Last updated
09/17/2007
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