Individual
DR. FRED W DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 VAN BUREN ST NW, CAMDEN, AR 71701-3931
(870) 836-6802
(870) 836-6803
Mailing address
206 VAN BUREN ST NW, CAMDEN, AR 71701-3931
(870) 836-6802
(870) 836-6803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1698
AR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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