Individual
JOSEPH DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1455 S SAWBURG AVE, ALLIANCE, OH 44601-3521
(330) 821-4187
(330) 821-4641
Mailing address
1455 S SAWBURG AVE, ALLIANCE, OH 44601-3521
(330) 821-4187
(330) 821-4641
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-023321
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2009
Last updated
06/20/2014
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