Individual
DR. MATTHEW A DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3900 SUNFOREST CT, SUITE 232, TOLEDO, OH 43623-4475
(419) 472-7668
Mailing address
11002 LONDON CIR, ARCADIA, OK 73007-1000
(319) 331-8048
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30.023403
OH
1223G0001X
General Practice Dentistry
08501
IA
Other
Enumeration date
07/16/2007
Last updated
03/26/2015
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