Individual
DR. RICHARD CRAIG DIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
475 COLUMBIA AVE E, SUITE 7, BATTLE CREEK, MI 49015-4461
(269) 964-3931
(269) 964-3699
Mailing address
475 COLUMBIA AVE E, SUITE 7, BATTLE CREEK, MI 49015-4461
(269) 964-3931
(269) 964-3699
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11547
MI
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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