Individual
DR. BENJAMIN JOHN DIEKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1678 FRY RD STE B, GREENWOOD, IN 46142-1176
(317) 885-7760
Mailing address
1564 W CURRY RD, GREENWOOD, IN 46143-9519
(317) 755-8431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013156A
IN
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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