KONSTANTINE DIETRICH, DDS
Dentist - General Practice
Active
Individual
NPI: 1023479888
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 0401414848 (VA) |
| Dentist - General Practice | 1223G0001X | Yes | 0401414848 (VA) |
Frequently Asked Questions
NPI 1023479888 is the National Provider Identifier for KONSTANTINE DIETRICH, DDS, a Dentist - General Practice provider located in Moody Afb, GA. This NPI was enumerated on March 8, 2016.
KONSTANTINE DIETRICH, DDS practices at 3278 MITCHELL BLVD, Moody Afb, GA 31699.
Quick Facts
- NPI
- 1023479888
- Type
- Individual
- Enumerated
- Mar 8, 2016
- Last Updated
- Sep 5, 2023
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