Individual
DR. ANDREW DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S., P.A.
Contact information
Practice address
330 E HIGHLAND DR, LAKELAND, FL 33813-1727
(863) 644-0430
Mailing address
330 E HIGHLAND DR, LAKELAND, FL 33813-1727
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17914
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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