| Andrew J. Dietz, Dds, Pa | |
|
17 White Horse Pike Suite 8 Haddon Heights NJ 08035-1299 | |
| (856) 547-8664 | |
| (856) 547-5560 |
| Full Name | Andrew J. Dietz, Dds, Pa |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 17 White Horse Pike, Haddon Heights, New Jersey |
| Authorized Official Name and Position | Andrew J. Dietz (OWNER) |
| Authorized Official Contact | 8565478664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J. Dietz, Dds, Pa 17 White Horse Pike Suite 8 Haddon Heights NJ 08035-1299 Ph: (856) 547-8664 | Andrew J. Dietz, Dds, Pa 17 White Horse Pike Suite 8 Haddon Heights NJ 08035-1299 Ph: (856) 547-8664 |
| NPI Number | 1013261791 |
|---|---|
| Provider Enumeration Date | 11/02/2012 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013261791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 22DI01814600 (New Jersey) | Primary |
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