Individual
DR. JOHN LOUIS DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17178 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954-2626
(941) 625-7877
(941) 625-4349
Mailing address
17178 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954-2626
(941) 625-7877
(941) 625-4349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9422
FL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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