Individual
DR. ANDREW J DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17 WHITE HORSE PIKE, SUITE # 8, HADDON HEIGHTS, NJ 08035-1299
(856) 547-8664
(856) 541-5560
Mailing address
17 WHITE HORSE PIKE, SUITE # 8, HADDON HEIGHTS, NJ 08035-1299
(856) 547-8664
(856) 541-5560
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18146
NJ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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