Dr Cristen Marie Dietz, DMD | |
12196 County Road 512, Fellsmere, FL 32948-5463 | |
(772) 257-8224 | |
(772) 213-3157 |
Full Name | Dr Cristen Marie Dietz |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 12196 County Road 512, Fellsmere, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558590851 | NPI | - | NPPES |
DN18780 | Other | FL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN18780 (Florida) | Primary |
Entity Name | Heart Of Florida Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710923727 PECOS PAC ID: 1355410838 Enrollment ID: O20080523000427 |
Mailing Address | Practice Location Address |
---|---|
Dr Cristen Marie Dietz, DMD 1545 9th St Sw, Vero Beach, FL 32962-4312 Ph: (772) 257-8224 | Dr Cristen Marie Dietz, DMD 12196 County Road 512, Fellsmere, FL 32948-5463 Ph: (772) 257-8224 |
Raisa W Arana, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 | |
Mia Starcevic, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 | |
Amber Rowe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 |