Individual
DR. DANIEL B DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
3443 TAMIAMI TRL, SUITE C, PORT CHARLOTTE, FL 33952-8159
(941) 743-6024
(941) 743-6052
Mailing address
3443 TAMIAMI TRL, SUITE C, PORT CHARLOTTE, FL 33952-8159
(941) 743-6024
(941) 743-6052
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN8841
FL
Other
Enumeration date
12/11/2006
Last updated
10/29/2007
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