Individual
DR. JOHN B DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2210 WILMINTON RD, NEW CASTLE, PA 16105-1997
(724) 652-7491
(724) 652-0810
Mailing address
2210 WILMINTON RD, NEW CASTLE, PA 16105-1997
(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
08/09/2006
Last updated
11/25/2014
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