Organization
JOHN B. DIETZ D.M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B DIETZ D.M.D. (OWNER)
(724) 652-7491
Entity
Organization
Contact information
Practice address
2210 WILMINGTON RD, NEW CASTLE, PA 16105-1933
(724) 652-7491
(724) 652-0810
Mailing address
2210 WILMINGTON RD, NEW CASTLE, PA 16105-1933
(724) 652-7491
(724) 652-0810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016280930001
—
PA
Enumeration date
04/02/2008
Last updated
04/02/2008
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