Individual
MEGHANN MARIE DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1710 N 144TH ST, OMAHA, NE 68154-4715
(402) 496-9733
Mailing address
121 W MISSION AVE, BELLEVUE, NE 68005-5236
(402) 291-0528
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6078-015
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6744
NE
Other
Enumeration date
08/25/2008
Last updated
08/22/2023
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