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DR. MICHAEL DIETRICH KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1173 WHIPPLE ST, NHCNE NEWPORT DENTAL CLINIC, NEWPORT, RI 02841-1632
(401) 841-2541
Mailing address
80 ANNANDALE RD APT 4, NEWPORT, RI 02840-3682
(219) 508-9075

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011112
CT
1223G0001X
General Practice Dentistry
0401414174
VA

Other

Enumeration date
03/20/2014
Last updated
03/20/2014
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