Individual
DR. APRIL DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4004 BAYBORO ST, LORIS, SC 29569-2867
(843) 756-2273
Mailing address
8901 BOGGY BRANCH RD, NICHOLS, SC 29581-5416
(843) 446-6392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8368
SC
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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