Organization
VICTOR S. DIETZ, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR DIETZ D.M.D. (OWNER)
(508) 872-0011
Entity
Organization
Contact information
Practice address
223 WALNUT ST, SUITE 22, FRAMINGHAM, MA 01702-7500
(508) 872-0011
(508) 820-3031
Mailing address
223 WALNUT ST, SUITE 22, FRAMINGHAM, MA 01702-7500
(508) 872-0011
(508) 820-3031
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11059
MA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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