Individual
PHILIP DIETEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2711
(937) 208-3844
Mailing address
5800 E LAKE DR APT 407, LISLE, IL 60532-4600
(952) 201-7486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025802
OH
Other
Enumeration date
04/29/2018
Last updated
08/20/2019
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