Individual
DR. GREGORY F. DIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5064 WATERFORD DR, SHEFFIELD VILLAGE, OH 44035-1497
(440) 934-5966
(440) 934-2408
Mailing address
5064 WATERFORD DR, SHEFFIELD VILLAGE, OH 44035-1497
(440) 934-5966
(440) 934-2408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018711
OH
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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